Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes : randomised controlled trial

© 2013 Royal College of Obstetricians and Gynaecologists. Funded by Royal College of Obstetricians and Gynaecologists, London, UK; Health Research Council of New Zealand. Grant Number: RG 819/06 New Zealand Lottery Grant Board Health Services Research Unit, University of Aberdeen Chief Scientist Office of the Scottish Government Health DirectoratesPeer reviewedPostprin

Faecal incontinence persisting after childbirth : a 12 year longitudinal study

© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.Peer reviewedPostprin

Characterisation of a multi-channel multiplexed EMG recording system: towards realising variable electrode configurations

First steps towards osseointegrated myoelec-trically-controlled prostheses: Bone anchor conduit conveys EMG signals from implanted electrodes [1]. In vivo selection of electrode configurations would improve signal-to-noise ratio (SNR) of EMG recordings [2]; optimal electrode config-urations are not known before implantation. The CAPITel system: Control of Active Prostheses using Implant-able Telemetry [3,4]. Implantable EMG amplifier with a novel multi-plexed frontend. In vivo selection of monopolar, bipolar or tripolar configurations. Designed using commercially available com-ponents for use in animal models. After further research design will be imple-mented as an ASIC

The JSpecView Project: an Open Source Java viewer and converter for JCAMP-DX, and XML spectral data files

The JSpecView Open Source project began with the intention of providing both a teaching and research tool for the display of JCAMP-DX spectra. The development of the Java source code commenced under license in 2001 and was released as Open Source in March 2006. The scope was then broadened to take advantage of the XML initiative in Chemistry and routines to read and write AnIML and CMLspect documents were added

Excavations and the afterlife of a professional football stadium, Peel Park, Accrington, Lancashire: towards an archaeology of football

Association football is now a multi-billion dollar global industry whose emergence spans the post-medieval to the modern world. With its professional roots in late 19th-century industrial Lancashire, stadiums built for the professionalization of football first appear in frequency in the North of England. While many historians of sport focus on consumerism and ‘topophilia’ (attachment to place) regarding these local football grounds, archaeological research that has been conducted on the spectator experience suggests status differentiation within them. Our excavations at Peel Park confirm this impression while also showing a significant afterlife to this stadium, particularly through children’s play

Model selection for prognostic time-to-event gene signature discovery with applications in early breast cancer data

Model selection between competing models is a key consideration in the discovery of prognostic multigene signatures. The use of appropriate statistical performance measures as well as verification of biological significance of the signatures is imperative to maximise the chance of external validation of the generated signatures. Current approaches in time-to-event studies often use only a single measure of performance in model selection, such as logrank test p-values, or dichotomise the follow-up times at some phase of the study to facilitate signature discovery. In this study we improve the prognostic signature discovery process through the application of the multivariate partial Cox model combined with the concordance index, hazard ratio of predictions, independence from available clinical covariates and biological enrichment as measures of signature performance. The proposed framework was applied to discover prognostic multigene signatures from early breast cancer data. The partial Cox model combined with the multiple performance measures were used in both guiding the selection of the optimal panel of prognostic genes and prediction of risk within cross validation without dichotomising the follow-up times at any stage. The signatures were successfully externally cross validated in independent breast cancer datasets, yielding a hazard ratio of 2.55 [1.44, 4.51] for the top ranking signature.</p

Passive phloem loading and long-distance transport in a synthetic tree-on-a-chip

Vascular plants rely on differences of osmotic pressure to export sugars from regions of synthesis (mature leaves) to sugar sinks (roots, fruits). In this process, known as M\"unch pressure flow, the loading of sugars from photosynthetic cells to the export conduit (the phloem) is crucial, as it sets the pressure head necessary to power long-distance transport. Whereas most herbaceous plants use active mechanisms to increase phloem concentration above that of the photosynthetic cells, in most tree species, for which transport distances are largest, loading seems to occur via passive symplastic diffusion from the mesophyll to the phloem. Here, we use a synthetic microfluidic model of a passive loader to explore the nonlinear dynamics that arise during export and determine the ability of passive loading to drive long-distance transport. We first demonstrate that in our device, phloem concentration is set by the balance between the resistances to diffusive loading from the source and convective export through the phloem. Convection-limited export corresponds to classical models of M\"unch transport, where phloem concentration is close to that of the source; in contrast, diffusion-limited export leads to small phloem concentrations and weak scaling of flow rates with the hydraulic resistance. We then show that the effective regime of convection-limited export is predominant in plants with large transport resistances and low xylem pressures. Moreover, hydrostatic pressures developed in our synthetic passive loader can reach botanically relevant values as high as 10 bars. We conclude that passive loading is sufficient to drive long-distance transport in large plants, and that trees are well suited to take full advantage of passive phloem loading strategies

Myoelectric Signal Transmission from Implanted Epimysial Electrodes Using a Bone-Anchor as a Conduit

Introduction Current Upper-limb myoelectric prostheses rely on only 2 control signals from surface electrodes, placed over antagonistic muscles in the amputation stump, for limb control. While this has benefits over the traditional body-powered control, there are disadvantages; electrode lift-off, impedance variation, cross-talk, reliability, and limitations in intuitive control. To address these problems, electrodes can be implanted directly on individual muscles responsible for specific actions. Not only does this address skin-related issues, it reduces cross-talk and greatly increases the number of control channels for multi degrees of freedom intuitive control. Bone-anchored devices can be used to overcome problems with prosthetic attachment and additionally used to transfer control signals from these implantable electrodes to the prosthesis. [1] In above-elbow amputees, targeted muscle reinnervation (TMR) enables more signal generation by redirecting nerves previously controlling the amputated muscles in the forearm, to surrogate muscles in the torso (e.g. pectoralis major). [2] We describe in vivo model using implantable electrodes to record myoelectric signals (MES) in normal muscles and following TMR, utilizing a bone-anchor as a conduit to carry signals across the skin barrier. Materials and Methods An in vivo n=6 ovine model was used. A bone-anchor was placed trans-tibially and bipolar electrodes sutured to M. Peroneus Tertius (PT). In a further n=1, motor nerve to PT was divided and coapted with a motor branch from peroneal nerve. MES were recorded over a 12-week period. Functional recovery in the TMR model was assessed by MES and force-plate analysis (FPA). Results In the n=6 group, there was a positive correlation between signal to noise ratio (SNR) and time since implantation (p < 0.005), with a mean SNR of 7 by week 12. In the TMR model, functional recovery was observed after 6 weeks. Difference between legs returned to normal (pre-op: left 4.7 N/kg, right 4.8 N/kg; 80 days post-op: left 4.1 N/kg, right 4.3 N/kg). Recorded MES from TMR muscle compared favourably with healthy muscle. Conclusions We have demonstrated that a bone-anchor is a reliable and robust conduit for transmitting MES over a period of 12 weeks. The combination of implanted electrodes & direct skeletal fixation offers clear advantages over current systems for prosthetic attachment & control. This system forms the basis of a complete solution for prosthetic rehabilitation, which can also be used in the context of TMR. References 1. Al Ajam et. al., 2013. PMID: 23358938 2. Kuiken et. al., 2004. PMID: 1565863