Stress urinary incontinence after hysterectomy : a 10-year national follow-up study

Purpose Hysterectomy has been associated with increased risk for developing stress urinary incontinence (SUI) and having a SUI operation. We examined the long-term rate of SUI operations after hysterectomy and associated risk factors. Methods We followed up 5000 women without prior urinary incontinence (UI) who had a hysterectomy in a prospective FINHYST 2006 cohort study until the end of 2016 through a national health register. The main outcome was SUI operations, and secondary outcomes were outpatient visits for UI, and their association of preoperative patient and operation factors. Results During the median follow-up time of 10.6 years (IQR 10.3-10.8), 111 (2.2%) women had a SUI operation and 241 (4.8%) had an outpatient visit for UI. The SUI operation rate was higher after vaginal hysterectomy and laparoscopic hysterectomy (n = 71 and 28, 3.3% and 1.8%, respectively) compared to abdominal hysterectomy (n = 11, 0.8%). In a multivariate risk analysis by Cox regression, the association with vaginal hysterectomy and SUI operation remained significant when adjusted for vaginal deliveries, preceding pelvic organ prolapse (POP), uterus size, age and BMI (HR 2.4, 95% CI 1.1-5.3). Preceding POP, three or more deliveries and laparoscopic hysterectomy were significantly associated with UI visits but not with SUI operations. Conclusion After hysterectomy, 2.2% of women underwent operative treatment for SUI. The number of SUI operations was more than double after vaginal hysterectomy compared to abdominal hysterectomy, but preceding POP explained this added risk partially. Preceding POP and three or more vaginal deliveries were independently associated with UI visits after hysterectomy.Peer reviewe

Multiple self-healing Bloch surface wave beams generated by a two-dimensional fraxicon

Two-dimensional surface waves are a cornerstone for future integrated photonic circuits. They can also be beneficially exploited in sensing devices by offering dark-field illuminations of objects. One major problem in sensing schemes arises from the individual sensing objects: the interaction of surface waves with an object reduces the field amplitude, and the readout of other objects along the propagation path suffers from this reduced signal. Here we show in two experiments that nondiffracting and self-healing Bloch surface waves can be launched using a Fresnel axicon (i.e., fraxicon). First, we visualize the generation of an array of multiple focal spots by scanning near-field optical microscopy in the infrared. With a second device operating in the visible, we demonstrate the self-healing effect directly using a far-field readout method by placing metallic nanoantennas onto the multiple focal spots of the fraxicon. Our study extends the versatile illumination capabilities of surface wave systems

Diffractive beamshaping elements at the fabrication limit

We treat the generation of flat-top intensity distributions, as required for laser applications at short wavelengths. To obtain high fill factors and almost arbitrary shapes, arrays of diffractive Fresnel zone plates at the fabrication limit are investigated. The angular power spectrum noise due to the binarization of the transmission phase function is smoothed using an incoherent source. The remaining zeroth order is ommited by the addition of a constant offset phase to the transmission phase function of the array. An analysis of etch-depth errors as well as an investigation of multilevel elements is appended. Simulation results, obtained by a 2-D analysis for radial symmetry, are compared to measurements. © 1996 Society of Photo-Optical Instrumentation Engineers

Nanostructured surface fabricated by laser interference lithography to attenuate the reflectivity of microlens arrays

A subwavelength-scale square lattice optical nanostructure is fabricated using an interference photolithography process on the surface of a quartz microlens array. This nanostructuring of the quartz surface introduces an antireflective effect, reducing reflectivity between 10% and 30% and enhancing the transmissivity 3% in the visible spectrum. This approach permits fast fabrication on a 4-inch wafer covered with microlenses (non-flat surface) and produces monolithic devices which are robust to adverse environments such as temperature variations. [DOI: 10.2971/jeos.2010.10006

Liquid phase deposition of polymers on arbitrary shaped surfaces and their suitability for e-beam patterning

We present a straightforward low cost liquid phase deposition method to coat arbitrary-shaped dielectric substrates with uniform electron beam sensitive polymer films. Furthermore, we investigate the use of electron beam lithography to pattern the coated pre-form substrates. The polymers studied are poly-methyl-methacrylate with different molecular weights, poly(methyl methacrylate-co-ethyl acrylate) and methyl methacrylate. The polymer coverage over the whole surface area is shown to be uniform and the thickness of the film dependent on the concentration of the polymer liquid used. As the uniform polymer layer is deposited on non-flat surfaces, we show that with an electron beam various surfaces, e.g. microlens arrays, can be re-patterned accurately with nanoscale features. Furthermore, we show the required dose for electron beam exposure to be dependent on the concentration and on the molecular weight of the polymer used. (Some figures in this article are in colour only in the electronic version

Concurrent polarization retrieval in multiheterodyne scanning near-field optical microscopy: validation on silicon formbirefringent grating

We demonstrate a concurrent polarization-retrieval algorithm based on a multi-heterodyne scanning near-field optical microscopy (MHSNOM) measurement system. This method relies on calibration of the polarization properties of the MH-SNOM using an isotropic region of the sample in the vicinity of the nanostructures of interest. We experimentally show the effectiveness of the method on a silicon form-birefringent grating (FBG) with significant polarization diversity. Three spatial dimensional near-field measurements are in agreement with theoretical predictions obtained with rigorous coupled-wave analysis (RCWA). Pseudo-far-field measurements are performed to obtain the effective refractive index of the FBG, emphasizing the validity of the proposed method. This reconstruction algorithm makes the MH-SNOM a powerful tool to analyze concurrently the polarization-dependent near-field optical response of nanostructures with sub wavelength resolution as long as a calibration area is available in close proximity

In-depth characterization of exhaust particles performed on-board a modern cruise ship applying a scrubber

To comply with environmental regulations, ship operators may adopt exhaust after-treatment devices such as scrubbers or selective catalytic reduction (SCR). Beyond gaseous emission control, these technologies impact the exhaust particles emitted from marine engines to the atmosphere. This study characterizes comprehensively the chemical composition and physical properties of exhaust aerosol particles upstream and downstream a hybrid scrubber operating in open loop mode on-board a modern cruise ship. The study considers two engines, one equipped with SCR and both with scrubber, during engine load conditions of 75 % and 40 %, and the influence of marine gas oil (MGO) use in addition to heavy fuel oil (HFO). At least 4 different particle types were observed in the exhaust based on transmission electron microscopy (TEM) studies both upstream and downstream scrubber, and both scrubber and SCR affected the particle number size distribution (PSD). The geometric mean diameter (GMD) of the particles increased over scrubber both due to removal of nucleation mode particles and particle growth in the scrubber. The scrubber effectively decreased particle number (PN) and, also, non-volatile particles, but the effect depended on particle size and no significant decrease was observed in number of particles above 50 nm, typically comprising black carbon (BC) and in the case of HFO combustion, also asymmetrical metal containing particles. In addition to PN, concentrations of PAH compounds were reduced in the scrubber. The results may be further utilized when including the exhaust aerosol characteristics from ships applying scrubbers to emission inventories, as well as climate and air quality models.Peer reviewe