Long-term complications of continent catheterizable channels: a problem for transitional urologists.

A majority of the transitional urology patient population have neurogenic bladder and many of these patients have undergone creation of continent catheterizable channels (CCCs) to facilitate bladder emptying. Transitional urologists will be faced with revision of these channels due to a variety of possible complications. We performed a comprehensive literature review to the data regarding the incidence, timing, and predisposing factors that lead to complications of CCCs as well as surgical revision techniques and their outcomes. Long-term channel complications and related revisions are common (25-30%) and likely underestimated. While many predictors for revision have been posited, the only predictor that has been significant in robust multivariable analysis is channel type, with appendicovesicostomies having a lower chance of requiring revision compared to Monti channels. Channels created in adults have high likelihood of requiring revision, even within a relatively short follow-up period. We review techniques for management of channel complications and their outcomes. As patients with congenital urologic conditions requiring CCCs are gaining longer lifespans, transitional urologists will be faced with revision and/or replacement of these channels. While some of these patients may require supravesical diversion in the future, data show that revision is feasible with good outcomes. Longer-term follow-up data is needed to understand the life-span and best practices of new CCCs created among the transitional population

Do continuum beliefs reduce schizophrenia stigma? Effects of a laboratory intervention on behavioral and self-reported stigma

Background and objectives Correlational research shows that belief in a continuum of psychiatric problems predicts decreased public stigma. However, the correlational findings fail to inform the stigma reduction prospects of manipulating continuum beliefs. All extant experimental work has been executed online. This study examined effects of a laboratory-based continuum intervention on behavioral and self-report measures of psychiatric stigma. Methods Sixty-nine undergraduates believed that they would meet a man with schizophrenia. They then read a bogus scientific article that attested to a categorical view of schizophrenia, a continuum view, or that merely described schizophrenia. Some participants then completed a task that required reflection on their differences from (categorical group) or similarities to (continuum group) the man with schizophrenia. Participants eventually moved to an adjacent room and sat in one of several seats that varied in their proximity to a seat ostensibly occupied by the man with schizophrenia. Results The continuum intervention decreased self-reported social distance and the categorical intervention increased endorsement of damaging stereotypes. Seat selection was unaffected by our manipulation, but we obtained evidence of significant links to validated stigma measures. Limitations Our sample was small, and our behavioral stigma measure could be modified to maximize variability in participants\u27 seat selection. Conclusions The study offers modest support of the stigma reduction effect of continuum belief intervention. It offers new evidence of the pernicious consequences of interventions that inflate perceptions of the “otherness” of individuals with psychiatric problems. Finally, it shines new light on stigma-related behavior measurable in the laboratory

Community learning and development training for professionals engaged in community regeneration and community planning

The study was commissioned by the Scottish Executive Development Department to identify training needs and current provision of community learning and development (CLD) training for a range of professionals (other than those formally qualified in CLD) who are engaged in community regeneration and community planning (Local Government in Scotland Act 2003). It was one of a series of studies emanating from the Scottish Executive response to the review: „Empowered to Practice – the future of community learning and development training in Scotland‟. One of the themes of the report taken up by the Scottish Executive was the need for; „wider opportunities for joint training with other disciplines such as teachers, librarians, college lecturers, health workers and social workers‟

The origin of amorphous rims on lunar plagioclase grains: Solar wind damage or vapor condensates

A distinctive feature of micron sized plagioclase grains from mature lunar soils is a thin (20 to 100 nm) amorphous rim surrounding the grains. These rims were originally described from high voltage electron microscope observations of lunar plagioclase grains by Dran et al., who observed rims up to 100 nm thick on plagioclase grains from Apollo 11 and 12 soils. These rims are believed to be the product of solar wind damage. The amorphous rims were studied on micron sized plagioclase grains from a mature Apollo 16 soil using a JEOL 200FX transmission electron microscope equipped with an energy dispersive x ray spectrometer. It was found that the amorphous rims are compositionally distinct from the interior plagioclase and it is proposed that a major component of vapor condensates is present in the rims

Scaffolds and Generalized Integral Galois Module Structure

Let $L/K$ be a finite, totally ramified $p$-extension of complete local fields with residue fields of characteristic $p > 0$, and let $A$ be a $K$-algebra acting on $L$. We define the concept of an $A$-scaffold on $L$, thereby extending and refining the notion of a Galois scaffold considered in several previous papers, where $L/K$ was Galois and $A=K[G]$ for $G=\mathrm{Gal}(L/K)$. When a suitable $A$-scaffold exists, we show how to answer questions generalizing those of classical integral Galois module theory. We give a necessary and sufficient condition, involving only numerical parameters, for a given fractional ideal to be free over its associated order in $A$. We also show how to determine the number of generators required when it is not free, along with the embedding dimension of the associated order. In the Galois case, the numerical parameters are the ramification breaks associated with $L/K$. We apply these results to biquadratic Galois extensions in characteristic 2, and to totally and weakly ramified Galois $p$-extensions in characteristic $p$. We also apply our results to the non-classical situation where $L/K$ is a finite primitive purely inseparable extension of arbitrary exponent that is acted on, via a higher derivation (but in many different ways), by the divided power $K$-Hopf algebra.Comment: Further minor corrections and improvements to exposition. Reference [BE] updated. To appear in Ann. Inst. Fourier, Grenobl

A new substrate for sampling deep river macroinvertebrates

We compared macroinvertebrate communities colonising multiplate samplers constructed from perspex or tempered hardboard (wood) with an alternative artificial substrate constructed from folded coconut fibre matting (coir) enclosed in nylon netting. Substrates were incubated for 62 days over January to March 2007 at six sites over 240 km along the Waikato River. The three substrates supported similar numbers of invertebrate taxa (27 - 29 taxa), but coir samples contained 71% of total invertebrate numbers from all substrates combined, compared with <17% for each type of multiplate sampler. Coir faunas were heavily dominated by the hydrobiid snail Potamopyrgus (84 % of numbers), and this taxon along with the amphipod Paracalliope comprised 58 - 66 % of invertebrates on both types of multiplate samplers. Analysis of a Bray-Curtis matrix suggested statistically significant differences in percent community composition between coir samplers and each type of multiplate sampler over the late summer study period. Densities per cm3 of Oligochaeta, Mollusca, and "other worms" (Platyhelminthes, Rhabdocoela, Nemertea and Hirudinea combined) were significantly higher in coir samples than one or both of the multiplate samplers. Results suggest coir samplers may provide a useful supplement to multiplate samplers for deep river invertebrate studies by collecting a different range of taxa, including those favouring cover and characteristic of depositional environments

Effects of Rate of Drying, Life History Phase, and Ecotype on the Ability of the Moss Bryum Argenteum to Survive Desiccation Events and the Influence on Conservation and Selection of Material for Restoration

Desiccation stress is frequently experienced by the moss Bryum argenteum and can influence survival, propagation and niche selection. We attempted to disentangle the interacting factors of life history phase (five categories) and rate of desiccation (time allotted for induction of desiccation tolerance) for 13 ecotypes of B. argenteum. Using chlorophyll fluorescence as a stress index, we determined how these parameters influenced desiccation tolerance. Rate of drying and life phase significantly affected desiccation tolerance. The reaction norms of desiccation tolerance displayed by the 13 ecotypes showed a substantial degree of variation in phenotypic plasticity. We observed differences in survival and fluorescence between rapid and slow drying events in juveniles. These same drying applications did not produce as large of a response for adult shoots (which consistently displayed high values). Some juvenile and protonemal ecotypes, such as those from the southwest United States, possessed higher innate tolerance to rapid drying, and greater resilience compared to ecotypes sourced from mesic localities in the United States. These results show a complex nuanced response to desiccation with ecotypes displaying a range of responses to desiccation reflecting both inherently different capacities for tolerating desiccation as well as variation in capacity for phenotypic plasticity. Our results suggest that we should expect few short-term effects of climate change due to high desiccation tolerance of adult shoots, but significant adverse long-term effects on colony establishment due to low tolerance of protonema and juvenile shoots. Further, we would recommend that future studies using mosses for habitat restoration of aridlands consider the desiccation tolerance capacity of individual ecotypes used for cultivation and later re-introduction. Understanding how mosses respond to desiccation is essential to interpret ecological roles, habitat preferences, selective pressures, and responses to climate change, and to estimate the potential effects of climate changes on bryophyte species and populations

110 GHz rapid, continous tuning from an optical parametric oscillator pumped by a fiber-amplified DBR diode laser

A singly-resonant continuous-wave optical parametric oscillator (cw-OPO) pumped by a fiber-amplified diode laser is described. Tuning of the pump source allowed the OPO output to be tuned continuously, without mode-hops, over 110 GHz in 29 ms. Discontinuous pump tuning over 20 nm in the region of 3.4 µm was also obtained. The rapid and continuous idler tuning was demonstrated by the measurement of a methane absorption spectrum. We believe this to be the first example of a singly-resonant OPO pumped by a fiber-amplified diode laser and the mode-hop free tuning range to be the highest reported for a cw-OPO