Role of Pelvic Ischemia in Human Lower Urinary Tract Symptoms and Sexual Function Among Patients With Common Iliac Artery Obstruction Undergoing Revascularization Surgery

Purpose In this case-control study, we explored the relationships among pelvic ischemia, lower urinary tract symptoms (LUTS), and sexual function in patients with common iliac artery steno-occlusive disease, along with the potential therapeutic role of revascularization. Methods We recruited 33 men diagnosed with radiologically documented common iliac artery stenosis (>80%) who underwent endovascular revascularization, and 33 healthy controls. Five patients had obstruction of the abdominal aorta (Leriche syndrome). The International Prostate Symptom Score (IPSS), Overactive Bladder Questionnaire, and International Index of Erectile Function were used to evaluate LUTS and erectile function. Medical history, anthropometrics, urinalysis, and blood tests, including levels of serum prostate-specific antigen, urea, creatinine, triglycerides, cholesterol, low-density lipoprotein, high-density lipoprotein, and hemoglobin A1c, were recorded. Uroflow (maximum flow, average flow, voided volume, and voiding time) and ultrasound parameters (prostate volume and postvoid residual [PVR]) were also measured. Patients with moderate-to-severe LUTS (IPSS>7) underwent complete urodynamic investigation. Patients were examined at baseline and 6 months postoperatively. Results Patients exhibited poorer total IPSS (P<0.001), storage (P=0.001) and voiding symptom (P<0.001) subscores, as well as worse OAB-bother (P=0.015), OAB-sleep (P<0.001), OAB-coping (P<0.001), and OAB-total (P<0.001) scores than control participants. Additionally, erectile function (P=0.002), sexual desire (P<0.001), and satisfaction from intercourse (P=0.016) deteriorated in the patient group. Six months postoperatively, significant improvements were observed in erectile function (P=0.008), orgasm (P=0.021), and desire (P=0.014). Similarly, PVR significantly improved (P=0.012), while fewer patients experienced increased bladder sensation (P=0.035) and detrusor overactivity (P=0.035) upon postoperative urodynamic study. No significant differences were found between patients with bilateral and unilateral obstruction or between either of those groups and Leriche syndrome patients. Conclusions Patients with steno-occlusive disease of the common iliac artery experienced more severe LUTS and sexual dysfunction than healthy controls. Endovascular revascularization alleviated LUTS in patients with moderate-to-severe symptoms and improved bladder and erectile function

Data Mining in MRO

Data mining seems to be a promising way to tackle the problem of unpredictability in MRO organizations. The Amsterdam University of Applied Sciences therefore cooperated with the aviation industry for a two-year applied research project exploring the possibilities of data mining in this area. Researchers studied more than 25 cases at eight different MRO enterprises, applying a CRISP-DM methodology as a structural guideline throughout the project. They explored, prepared and combined MRO data, flight data and external data, and used statistical and machine learning methods to visualize, analyse and predict maintenance. They also used the individual case studies to make predictions about the duration and costs of planned maintenance tasks, turnaround time and useful life of parts. Challenges presented by the case studies included time-consuming data preparation, access restrictions to external data-sources and the still-limited data science skills in companies. Recommendations were made in terms of ways to implement data mining – and ways to overcome the related challenges – in MRO. Overall, the research project has delivered promising proofs of concept and pilot implementation

Data Mining in MRO

Data mining seems to be a promising way to tackle the problem of unpredictability in MRO organizations. The Amsterdam University of Applied Sciences therefore cooperated with the aviation industry for a two-year applied research project exploring the possibilities of data mining in this area. Researchers studied more than 25 cases at eight different MRO enterprises, applying a CRISP-DM methodology as a structural guideline throughout the project. They explored, prepared and combined MRO data, flight data and external data, and used statistical and machine learning methods to visualize, analyse and predict maintenance. They also used the individual case studies to make predictions about the duration and costs of planned maintenance tasks, turnaround time and useful life of parts. Challenges presented by the case studies included time-consuming data preparation, access restrictions to external data-sources and the still-limited data science skills in companies. Recommendations were made in terms of ways to implement data mining – and ways to overcome the related challenges – in MRO. Overall, the research project has delivered promising proofs of concept and pilot implementation

Best practices for the provision of prior information for Bayesian stock assessment

This manual represents a review of the potential sources and methods to be applied when providing prior information to Bayesian stock assessments and marine risk analysis. The manual is compiled as a product of the EC Framework 7 ECOKNOWS project (www.ecoknows.eu). The manual begins by introducing the basic concepts of Bayesian inference and the role of prior information in the inference. Bayesian analysis is a mathematical formalization of a sequential learning process in a probabilistic rationale. Prior information (also called ”prior knowledge”, ”prior belief”, or simply a ”prior”) refers to any existing relevant knowledge available before the analysis of the newest observations (data) and the information included in them. Prior information is input to a Bayesian statistical analysis in the form of a probability distribution (a prior distribution) that summarizes beliefs about the parameter concerned in terms of relative support for different values. Apart from specifying probable parameter values, prior information also defines how the data are related to the phenomenon being studied, i.e. the model structure. Prior information should reflect the different degrees of knowledge about different parameters and the interrelationships among them. Different sources of prior information are described as well as the particularities important for their successful utilization. The sources of prior information are classified into four main categories: (i) primary data, (ii) literature, (iii) online databases, and (iv) experts. This categorization is somewhat synthetic, but is useful for structuring the process of deriving a prior and for acknowledging different aspects of it. A hierarchy is proposed in which sources of prior information are ranked according to their proximity to the primary observations, so that use of raw data is preferred where possible. This hierarchy is reflected in the types of methods that might be suitable – for example, hierarchical analysis and meta-analysis approaches are powerful, but typically require larger numbers of observations than other methods. In establishing an informative prior distribution for a variable or parameter from ancillary raw data, several steps should be followed. These include the choice of the frequency distribution of observations which also determines the shape of prior distribution, the choice of the way in which a dataset is used to construct a prior, and the consideration related to whether one or several datasets are used. Explicitly modelling correlations between parameters in a hierarchical model can allow more effective use of the available information or more knowledge with the same data. Checking the literature is advised as the next approach. Stock assessment would gain much from the inclusion of prior information derived from the literature and from literature compilers such as FishBase (www.fishbase.org), especially in data-limited situations. The reader is guided through the process of obtaining priors for length–weight, growth, and mortality parameters from FishBase. Expert opinion lends itself to data-limited situations and can be used even in cases where observations are not available. Several expert elicitation tools are introduced for guiding experts through the process of expressing their beliefs and for extracting numerical priors about variables of interest, such as stock–recruitment dynamics, natural mortality, maturation, and the selectivity of fishing gears. Elicitation of parameter values is not the only task where experts play an important role; they also can describe the process to be modelled as a whole. Information sources and methods are not mutually exclusive, so some combination may be used in deriving a prior distribution. Whichever source(s) and method(s) are chosen, it is important to remember that the same data should not be used twice. If the 2 | ICES Cooperative Research Report No. 328 plan is to use the data in the analysis for which the prior distribution is needed, then the same data cannot be used in formulating the prior. The techniques studied and proposed in this manual can be further elaborated and fine-tuned. New developments in technology can potentially be explored to find novel ways of forming prior distributions from different sources of information. Future research efforts should also be targeted at the philosophy and practices of model building based on existing prior information. Stock assessments that explicitly account for model uncertainty are still rare, and improving the methodology in this direction is an important avenue for future research. More research is also needed to make Bayesian analysis of non-parametric models more accessible in practice. Since Bayesian stock assessment models (like all other assessment models) are made from existing knowledge held by human beings, prior distributions for parameters and model structures may play a key role in the processes of collectively building and reviewing those models with stakeholders. Research on the theory and practice of these processes will be needed in the future

Video Fragmentation and Reverse Search on the Web

This chapter is focused on methods and tools for video fragmentation and reverse search on the web. These technologies can assist journalists when they are dealing with fake news—which nowadays are being rapidly spread via social media platforms—that rely on the reuse of a previously posted video from a past event with the intention to mislead the viewers about a contemporary event. The fragmentation of a video into visually and temporally coherent parts and the extraction of a representative keyframe for each defined fragment enables the provision of a complete and concise keyframe-based summary of the video. Contrary to straightforward approaches that sample video frames with a constant step, the generated summary through video fragmentation and keyframe extraction is considerably more effective for discovering the video content and performing a fragment-level search for the video on the web. This chapter starts by explaining the nature and characteristics of this type of reuse-based fake news in its introductory part, and continues with an overview of existing approaches for temporal fragmentation of single-shot videos into sub-shots (the most appropriate level of temporal granularity when dealing with user-generated videos) and tools for performing reverse search of a video on the web. Subsequently, it describes two state-of-the-art methods for video sub-shot fragmentation—one relying on the assessment of the visual coherence over sequences of frames, and another one that is based on the identification of camera activity during the video recording—and presents the InVID web application that enables the fine-grained (at the fragment-level) reverse search for near-duplicates of a given video on the web. In the sequel, the chapter reports the findings of a series of experimental evaluations regarding the efficiency of the above-mentioned technologies, which indicate their competence to generate a concise and complete keyframe-based summary of the video content, and the use of this fragment-level representation for fine-grained reverse video search on the web. Finally, it draws conclusions about the effectiveness of the presented technologies and outlines our future plans for further advancing them

Umbilical endosalpingiosis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Endosalpingiosis describes the ectopic growth of Fallopian tube epithelium. Pathology confirms the presence of a tube-like epithelium containing three types of cells: ciliated, columnar cells; non-ciliated, columnar secretory mucous cells; and intercalary cells.</p> <p>We report the case of a woman with umbilical endosalpingiosis and examine the nature and characteristics of cutaneous endosalpingiosis by reviewing and combining the other four cases existing in the international literature.</p> <p>Case presentation</p> <p>A 50-year-old Caucasian, Greek woman presented with a pale brown nodule in her umbilicus. The nodule was asymptomatic, with no cyclical discomfort or variation in size. Her personal medical, surgical and gynecologic history was uneventful. An excision within healthy margins was performed under local anesthesia. A cystic formation measuring 2.7×1.7×1 cm was removed. Histological examination confirmed umbilical endosalpingiosis.</p> <p>Conclusions</p> <p>Umbilical endosalpingiosis is a very rare manifestation of the non-neoplasmatic disorders of the Müllerian system. It appears with cyclic symptoms of pain and swelling of the umbilicus, but not always. The disease is diagnosed using pathologic findings and surgical excision is the definitive treatment.</p

Effects of dietary substitution of fishmeal by black soldier fly (Hermetia illucens) meal on growth performance, whole-body chemical composition, and fatty acid profile of Pontastacus leptodactylus juveniles

Freshwater crayfish are considered as aquatic products of high quality and high nutritional value. The increasing demand has led to populations reduction in several locations throughout their range. Thus, the development of appropriate rearing conditions is considered necessary, among which, optimization of their diet is a basic part. Towards this direction, in the present study, a 98-day feeding trial was carried out to evaluate the impact of dietary fishmeal substitution by Hermetia illucens meal on Pontastacus leptodactylus juveniles kept under laboratory conditions. Insect meals represent an environmentally friendly alternative solution, considered as a high-value feed source, rich in nutrients such as protein and fat. Three dietary regimens were utilized with a fishmeal-based without Hermetia meal (HM) defined as the control diet (HM0), and two diets, the first with 50% (HM50) and the second with 100% (HM100) of fishmeal substitution by HM, respectively. Growth performance, whole-body composition, and fatty acid profiles of individuals were studied in the different treatments. At the end of the feeding trial, statistically significant differences were observed in the mean survival rate (SR), specific growth rate (SGR), feed conversion ratio (FCR) and weight gain (WG) values. More specifically, animals fed with HM-based diets had higher mean SR, while the control group performed better regarding FCR and SGR. The HM inclusion in the diet significantly altered the whole-body chemical composition of the crayfish signifying a different metabolic utilization compared to fishmeal (FM). The fatty acid analysis revealed that 16:0 (palmitic acid) was the predominant saturated fatty acid (SFA), 18:1ω9 (oleic acid) was found to be the main monounsaturated fatty acid (MUFA), while 18:2ω6 (linoleic acid) represented the major polyunsaturated fatty acid (PUFA) followed by C20:3 cis ω3 (cis-11-14-17-eicosatrienoate) and C22:6 cis ω3 (cis-4,7,10,13,16,19-Docosahexaenoic) fatty acids. The inclusion of dietary HM significantly reduced the contents of ∑SFAs, ∑PUFAs and ∑ω6 fatty acids, as well as those of C22:6 cis ω3 and increased the ω6/ω3 and hypocholesterolemic to hypercholesterolemic ratios in the body. In parallel with improvements in balanced diets and in culture conditions that need to be optimised for rearing of freshwater crayfish, our study provides new data that enlighten the suitability of insect meals in the nutrition of P. leptodactylus

COVID-19 vaccinations: summary guidance for Cancer patients in 28Languages: breaking barriers to Cancer patient Information

Background: Covid-19 vaccination has started in the majority of the countries at the global level. Cancer patients are at high risk for infection, serious illness, and death from COVID-19 and need vaccination guidance and support. Guidance availability in the English language only is a major limit for recommendations' delivery and their application in the world's population and generates information inequalities across the different populations. Methods: Most of the available COVID-19 vaccination guidance for cancer patients was screened and scrutinized by the European Cancer Patients Coalition (ECPC) and an international oncology panel of 52 physicians from 33 countries. Results: A summary guidance was developed and provided in 28 languages in order to reach more than 70 percent of the global population. Conclusion: Language barrier and e-guidance availability in the native language are the most important barriers when communicating with patients. E-guidance availability in various native languages should be considered a major priority by international medical and health organizations that are communicating with patients at the global level.info:eu-repo/semantics/publishedVersio

Inmate cancer patients – highlighting the importance of a holistic approach to oncological care

Purpose: Inmate oncologic patients' rates increased drastically worldwide. Elderly, limited exercise, unhealthy diet, hepatitis, HIV+ status, tobacco and alcohol use, constitute the main cancer risk factors. We present an outline of practical oncological management and ethical thinking, in the specific environment of a detention facility. Methods: PubMed, Cochrane Database of Controlled Trials, SCOPUS and grey literature were extensively searched upto October 2021. Ιncarcerated oncologic patients experiencevarious everyday challenges:their confinement in high securityfacilities, the lack of access to critical care and related ethicaldilemmas inherent to the context of a correctional facility. Results: The detention facilities may be inadequate in providing early cancer diagnosis and appropriate care mainlydue to a lack of specialized personnel, b) in-house or in external specialized cancer hospitals, care variability (e.g. admissions in small local or regional hospitals), c) delays inproviding access and d) gatekeeper systems. There is a paucity of administration of a) systemic therapy(chemotherapy, targeted drug therapy etc), b) radiotherapy, c)palliative care, and d) enrollment in clinical trials.  Conclusions: Correctional facilities must encourage teamwork between healthcare and correctional professionals inorder to improve the provided anticancer care