701 research outputs found
Robotic Assisted Laparoscopic Prostatectomy Performed after Previous Suprapubic Prostatectomy
Operative management of prostate cancer in a patient who has undergone previous open suprapubic simple prostatectomy poses a unique surgical challenge. Herein, we describe a case of intermediate risk prostate cancer in a man who had undergone simple prostatectomy ten years prior to presentation. The patient was found to have Gleason 7 prostate cancer on MRI fusion biopsy of the prostate for elevated PSA and underwent an uncomplicated robot assisted laparoscopic radical prostatectomy
Π¦ΠΈΡΠΎΠΊΡΠ½ΠΎΠ²ΠΈΠΉ ΠΏΡΠΎΡΡΠ»Ρ Ρ Π²Π°Π³ΡΡΠ½ΠΈΡ Π· Ρ Π»Π°ΠΌΡΠ΄ΡΠΉΠ½ΠΎ-Π²ΡΡΡΡΠ½ΠΎΡ ΡΠ½ΡΠ΅ΠΊΡΡΡΡ
Π£ΡΠΎΠ³Π΅Π½ΠΈΡΠ°Π»ΡΠ½ΡΠΉ Ρ
Π»Π°ΠΌΠΈΠ΄ΠΈΠΎΠ· ΠΈ Π²ΠΈΡΡΡΠ½Π°Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ β ΡΡΠΎ Π°ΠΊΡΡΠ°Π»ΡΠ½Π°Ρ ΠΌΠ΅Π΄ΠΈΠΊΠΎ-ΡΠΎΡΠΈΠ°Π»ΡΠ½Π°Ρ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ°, ΠΏΠΎΡΡΠΎΠΌΡ
ΡΠ³Π»ΡΠ±Π»Π΅Π½Π½ΡΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
, ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΡΠ½Π΄ΠΎΠΊΡΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π°ΡΠΏΠ΅ΠΊΡΠΎΠ² ΡΡΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ Ρ
Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
, ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠ° ΠΈ Π²Π½Π΅Π΄ΡΠ΅Π½ΠΈΠ΅ Π»Π΅ΡΠ΅Π±Π½ΠΎ-ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
ΡΠ΅Π·Π΅ΡΠ²ΠΎΠ² ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΡΠ΅ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΡΡ
ΠΏΠΎΡΠ΅ΡΡ, ΠΌΠ°ΡΠ΅ΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΈ ΠΏΠ΅ΡΠΈΠ½Π°ΡΠ°Π»ΡΠ½ΠΎΠΉ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ. ΠΠΌΠ΅ΡΡΠ΅ Ρ ΡΡΠΈΠΌ,
ΡΠ°ΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠΎΡΡΠ°Π²Π»ΡΡΡ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π½Π°ΡΡΠ½ΡΠΉ ΠΈΠ½ΡΠ΅ΡΠ΅Ρ ΠΈ Π±ΠΎΠ»ΡΡΡΡ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΡΡ ΡΠ΅Π½Π½ΠΎΡΡΡ.
ΠΡΠΈ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠΈ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠΎΠ² ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ Π±ΠΎΠ»ΡΡΠΎΠΉ ΠΈΠ½ΡΠ΅ΡΠ΅Ρ Π²ΡΠ·ΡΠ²Π°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ
ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΠΠ‘ (ΠΏΡΡΠ΅ΠΌ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΡΠΎΠ²Π½Ρ ΠΏΡΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ² ΠΠ -
1Ξ², Π€ΠΠ -Ξ±), Π° ΡΠ°ΠΊΠΆΠ΅ Π’-Π»ΠΈΠΌΡΠΎΡΠΈΡΠΎΠ² (ΠΏΡΡΠ΅ΠΌ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΡΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ² ΠΠ -2, ΠΠ€Π-Ξ³ ΠΈ
ΠΏΡΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ² ΠΠ -4, ΠΠ -10).Urogenital chlamydia and viral infection are actual medical and social problems. That is why the most promising reserves
to reduce reproductive losses, maternal and perinatal morbidity are deep study of clinical, immunological, microbiological
and endocrinological aspects of this problem among pregnant women, as well as developing and implementing of health
care programs. Moreover, such studies have significant scientific interest and great practical value.
While studying the mechanisms of pregnancy complications, the most interesting are the study of the functional
state of MMS cells (by determining the level of proinflammatory cytokines IL-1Ξ² TNF-Ξ±), and T-lymphocytes (by
determining the level of proinflammatory cytokines IL-2, IFN-Ξ³ and anti-inflammatory cytokines IL-4, IL-10)
Fast coarsening in unstable epitaxy with desorption
Homoepitaxial growth is unstable towards the formation of pyramidal mounds
when interlayer transport is reduced due to activation barriers to hopping at
step edges. Simulations of a lattice model and a continuum equation show that a
small amount of desorption dramatically speeds up the coarsening of the mound
array, leading to coarsening exponents between 1/3 and 1/2. The underlying
mechanism is the faster growth of larger mounds due to their lower evaporation
rate.Comment: 4 pages, 4 PostScript figure
Coarsening Dynamics of Crystalline Thin Films
The formation of pyramid-like structures in thin-film growth on substrates
with a quadratic symmetry, e.g., {001} surfaces, is shown to exhibit
anisotropic scaling as there exist two length scales with different time
dependences. Analytical and numerical results indicate that for most
realizations coarsening of mounds is described by an exponent n=0.2357.
However, depending on material parameters, n may lie between 0 (logarithmic
coarsening) and 1/3. In contrast, growth on substrates with triangular
symmetries ({111} surfaces) is dominated by a single length scale and an
exponent n=1/3.Comment: RevTeX, 4 pages, 3 figure
ManyBabies 3: A multi-lab study of infant algebraic rule learning
The ability to learn and apply rules lies at the heart of cognition. In a seminal study, Marcus, Vijayan, Rao, and Vishton (1999) reported that seven-month-old infants learned abstract rules over syllable sequences and were able to generalize those rules to novel syllable sequences. Dozens of studies have since extended on that research using different rules, modalities, stimuli, participants (human adults and non-human animals) and experimental procedures. Yet questions remain about the robustness of Marcus et al.βs (1999) core findings, as the presence of significant learning effects has been mixed. In the current study, we aimed to address this issue by testing XX infants of a wide age range (5;0-12;0 months) in a multi-laboratory (XX laboratories) replication of the Marcus et al. (1999) study
Giant magnetothermopower of magnon-assisted transport in ferromagnetic tunnel junctions
We present a theoretical description of the thermopower due to
magnon-assisted tunneling in a mesoscopic tunnel junction between two
ferromagnetic metals. The thermopower is generated in the course of thermal
equilibration between two baths of magnons, mediated by electrons. For a
junction between two ferromagnets with antiparallel polarizations, the ability
of magnon-assisted tunneling to create thermopower depends on the
difference between the size of the majority and
minority band Fermi surfaces and it is proportional to a temperature dependent
factor where is the magnon Debye
energy. The latter factor reflects the fractional change in the net
magnetization of the reservoirs due to thermal magnons at temperature
(Bloch's law). In contrast, the contribution of magnon-assisted
tunneling to the thermopower of a junction with parallel polarizations is
negligible. As the relative polarizations of ferromagnetic layers can be
manipulated by an external magnetic field, a large difference results in a magnetothermopower effect. This
magnetothermopower effect becomes giant in the extreme case of a junction
between two half-metallic ferromagnets, .Comment: 9 pages, 4 eps figure
The Impact of Nocturia on Mortality: A Systematic Review and Meta-Analysis
Purpose: Nocturia (waking from sleep at night to void) is a common cause of sleep disruption associated with increased comorbidity and impaired quality of life. However, its impact on mortality remains unclear. We performed a systematic review and meta-analysis to evaluate the association of nocturia with mortality as a prognostic factor and a causal risk factor. Materials and Methods: We searched PubMed (R), Scopus (R), CINAHL (R) (Cumulative Index of Nursing and Allied Health Literature) and major conference abstracts up to December 31, 2018. Random effects meta-analyses were done to address the adjusted RR of mortality in people with nocturia. Metaregression was performed to explore potential determinants of heterogeneity, including the risk of bias. We applied the GRADE (Grades of Recommendation, Assessment, Development and Evaluation) framework to rate the quality of evidence for nocturia as a prognostic risk factor for mortality and separately as a cause of mortality. Results: Of the 5,230 identified reports 11 observational studies proved eligible for inclusion. To assess nocturia 10 studies used symptom questionnaires and 1 used frequency-volume charts. Nocturia was defined as 2 or more episodes per night in 6 studies (55%) and as 3 or more episodes per night in 5 (45%). Pooled estimates demonstrated a RR of 1.27 (95% CI 1.16-1.40, I-2=48%) with an absolute 1.6% and 4.0% 5-year mortality difference in individuals 60 and 75 years old, respectively. The pooled estimates of relative risk did not differ significantly across varying age, gender, followup, nocturia case definition, risk of bias or study region. We rated the quality of evidence for nocturia as a prognostic factor as moderate and as a cause of mortality as very low. Conclusions: Nocturia is probably associated with an approximately 1.3-fold increased risk of death.Peer reviewe
Spin-polarized current amplification and spin injection in magnetic bipolar transistors
The magnetic bipolar transistor (MBT) is a bipolar junction transistor with
an equilibrium and nonequilibrium spin (magnetization) in the emitter, base, or
collector. The low-injection theory of spin-polarized transport through MBTs
and of a more general case of an array of magnetic {\it p-n} junctions is
developed and illustrated on several important cases. Two main physical
phenomena are discussed: electrical spin injection and spin control of current
amplification (magnetoamplification). It is shown that a source spin can be
injected from the emitter to the collector. If the base of an MBT has an
equilibrium magnetization, the spin can be injected from the base to the
collector by intrinsic spin injection. The resulting spin accumulation in the
collector is proportional to , where is the proton
charge, is the bias in the emitter-base junction, and is the
thermal energy. To control the electrical current through MBTs both the
equilibrium and the nonequilibrium spin can be employed. The equilibrium spin
controls the magnitude of the equilibrium electron and hole densities, thereby
controlling the currents. Increasing the equilibrium spin polarization of the
base (emitter) increases (decreases) the current amplification. If there is a
nonequilibrium spin in the emitter, and the base or the emitter has an
equilibrium spin, a spin-valve effect can lead to a giant magnetoamplification
effect, where the current amplifications for the parallel and antiparallel
orientations of the the equilibrium and nonequilibrium spins differ
significantly. The theory is elucidated using qualitative analyses and is
illustrated on an MBT example with generic materials parameters.Comment: 14 PRB-style pages, 10 figure
Theory of anyon excitons: Relation to excitons of nu=1/3 and nu=2/3 incompressible liquids
Elementary excitations of incompressible quantum liquids (IQL's) are anyons,
i.e., quasiparticles carrying fractional charges and obeying fractional
statistics. To find out how the properties of these quasiparticles manifest
themselves in the optical spectra, we have developed the anyon exciton model
(AEM) and compared the results with the finite-size data for excitons of nu=1/3
and nu=2/3 IQL's. The model considers an exciton as a neutral composite
consisting of three quasielectrons and a single hole. The AEM works well when
the separation between electron and hole confinement planes, h, is larger than
the magnetic length l. In the framework of the AEM an exciton possesses
momentum k and two internal quantum numbers, one of which can be chosen as the
angular momentum, L, of the k=0 state. Existence of the internal degrees of
freedom results in the multiple branch energy spectrum, crater-like electron
density shape and 120 degrees density correlations for k=0 excitons, and the
splitting of the electron shell into bunches for non-zero k excitons. For h
larger than 2l the bottom states obey the superselection rule L=3m (m are
integers starting from 2), all of them are hard core states. For h nearly 2l
there is one-to-one correspondence between the low-energy spectra found for the
AEM and the many- electron exciton spectra of the nu=2/3 IQL, whereas some
states are absent from the many-electron spectra of the nu=1/3 IQL. We argue
that this striking difference in the spectra originates from the different
populational statistics of the quasielectrons of charge conjugate IQL's and
show that the proper account of the statistical requirements eliminates
excessive states from the spectrum. Apparently, this phenomenon is the first
manifestation of the exclusion statistics in the anyon bound states.Comment: 26 pages with 9 figures, typos correcte
Sliding motion of a two-dimensional Wigner crystal in a strong magnetic field
We study the sliding state of a two-dimensional Wigner crystal in a strong
magnetic field and a random impurity potential. Using a high-velocity
perturbation theory, we compute the nonlinear conductivity, various correlation
functions, and the interference effects arising in combined AC + DC electric
effects, including the Shapiro anomaly and the linear response to an AC field.
Disorder is found to induce mainly transverse distortions in the sliding state
of the lattice. The Hall resistivity retains its classical value. We find that,
within the large velocity perturbation theory, free carriers which affect the
longitudinal phonon modes of the Wigner crystal do not change the form of the
nonlinear conductivity. We compare the present sliding Wigner crystal in a
strong magnetic field to the conventional sliding charge-density wave systems.
Our result for the nonlinear conductivity agrees well with the
characteristics measured in some experiments at low temperatures or large
depinning fields, for the insulating phases near filling factor = 1/5. We
summarize the available experimental data, and point out the differences among
them.Comment: appeared in RPB vol. 50, 4600 (1994); LaTex file; 3 figures available
from [email protected]
- β¦