151 research outputs found
Floating Hem-o-Lok Clips in the Bladder without Stone Formation after Robot-Assisted Laparoscopic Radical Prostatectomy
Hem-o-Lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, NC, USA) are widely used in robot-assisted laparoscopic radical prostatectomy because of their easy application and secure clamping. To date, there have been some reports of intravesical migration of these clips causing urethral erosion, bladder neck contractures, and subsequent calculus formation. We report the first case of bladder migration of Hem-o-Lok clips without stone formation after robot-assisted laparoscopic radical prostatectomy. The Hem-o-Lok clips were found during urethral dilation with a guide wire for bladder neck contracture under cystourethroscopy. The Hem-o-Lok clips were floating in the bladder without stone formation and were removed by a cystoscopic procedure
Effect of Flow Blockage on the Coolability during Reflood in a 2 Ć
During the reflood phase of a large-break loss-of-coolant accident (LBLOCA) in a pressurized-water reactor (PWR), the fuel rods can be ballooned or rearranged owing to an increase in the temperature and internal pressure of the fuel rods. In this study, an experimental study was performed to understand the thermal behavior and effect of the ballooned region on the coolability using a 2 Ć 2 rod bundle test facility. The electrically heated rod bundle was used and the ballooning shape of the rods was simulated by superimposing hollow sleeves, which have a 90% blockage ratio. Forced reflood tests were performed to examine the transient two-phase heat transfer behavior for different reflood rates and rod powers. The droplet behaviors were also investigated by measuring the velocity and size of droplets near the blockage region. The results showed that the heat transfer was enhanced in the downstream of the blockage region, owing to the reduced flow area of the subchannel, intensification of turbulence, and deposition of the droplet
Practical considerations of porosity, strength, and acoustic absorption of structural pervious concrete
This study was conducted to address practical problems in producing structural pervious concrete, such as issues with mix proportioning, paste sagging, porosity, strength, and acoustic absorption. Concrete mixtures with varying aggregate types, target void ratios, and fiber contents were cast in cylindrical and panel-type specimens to determine the compressive strength, porosity, and acoustic absorption coefficient. Porosities of the concrete measured by two methods, i.e., using the volumetric method and computed tomography scanning, were compared to confirm the pore network distribution. A surface impedance method was used to measure the acoustic absorption of the panel samples. Paste with a flow of 170 +/- 10 mm containing synthetic fibers prevented sagging successfully even after mechanical vibration. The concrete produced with this paste and having target void ratios of 10-15% possessed adequate connected open pores for acoustic absorption coefficient over 0.5 and structural strength exceeding 20 MPa
Neovesical-Urethral Anastomotic Stricture Successfully Treated by Ureteral Dilation Balloon Catheter
Neovesical-urethral anastomotic stricture is a complication of orthotopic neobladder, with a reported incidence of 2.7% to 8.8%. Strictures of the neovesico-urethral anastomotic site can be treated with regular self-dilation, but high-grade strictures require a surgical procedure involving incision by electrocautery or cold knife. Here we describe a grade III neovesical-urethral anastomotic stricture after an orthotopic bladder substitution that was successfully treated by use of a ureteral dilation balloon catheter
Whole-exome sequencing in 168 Korean patients with inherited retinal degeneration
Background
To date, no genetic analysis of inherited retinal disease (IRD) using whole-exome sequencing (WES) has been conducted in a large-scale Korean cohort. The aim of this study was to characterise the genetic profile of IRD patients in Korea using WES.
Methods
We performed comprehensive molecular testing in 168 unrelated Korean IRD patients using WES. The potential pathogenicity of candidate variants was assessed using the American College of Medical Genetics and Genomics and the Association for Molecular Pathology variant interpretation guidelines, in silico prediction tools, published literature, and compatibility with known phenotypes or inheritance patterns.
Results
Causative variants were detected in 86/168 (51.2%) IRD patients, including 58/107 (54.2%) with retinitis pigmentosa, 7/15 (46.7%) with cone and cone-rod dystrophy, 2/3 (66.6%) with Usher syndrome, 1/2 (50.0%) with congenital stationary night blindness, 2/2 (100.0%) with Leber congenital amaurosis, 1/1 (100.0%) with Bietti crystalline dystrophy, 1/1 (100.0%) with Joubert syndrome, 9/10 (90.0%) with Stargardt macular dystrophy, 1/10 (10.0%) with vitelliform macular dystrophy, 1/11 (9.1%) with other forms of macular dystrophy, and 3/4 (75.0%) with choroideraemia. USH2A, ABCA4, and EYS were the most common causative genes associated with IRD. For retinitis pigmentosa, variants of USH2A and EYS were the most common causative gene mutations.
Conclusions
This study demonstrated the distribution of causative genetic mutations in Korean IRD patients. The data will serve as a reference for future genetic screening and development of treatment modalities for Korean IRD patients.This study was supported by the Korean Association of Retinal Degeneraātion, by a Grant Number 2620170060 from the SNUH Research Fund, and by a grant of the Korea Research-Driven Hospital (Grant Number: HI14C1277) through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health and Welfare (MHW), Republic of Korea. The funding
bodies played no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript
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