A systematic review and meta-analysis of Macroplastique for treating female stress urinary incontinence.

Introduction and hypothesisMacroplastique® (polydimethylsiloxane injection) is a minimally invasive urethral bulking agent with global clinical literature describing its use over 20 years. This study critically assessed the safety and effectiveness outcomes for adult women treated with Macroplastique for stress urinary incontinence (SUI) through a systematic review and meta-analysis.MethodsA systematic review of the scientific literature from 1990 to 2010 was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to quantitatively summarize the safety and effectiveness of Macroplastique for female SUI. A total of 958 patients from 23 cohorts were eligible for inclusion and were analyzed. Random-effects models were used to estimate the improvement and cure rates following treatment at three time periods: short-term (<6 months), mid-term (6-18 months), and long-term (>18 months). Expanded models assessed the effect of reinjection rate on successful treatment outcomes. Adverse event rates were aggregated and reported.ResultsImprovement rates were 75 % [95 % confidence interval (CI), 69-81] in the short-term, 73 % (95 % CI, 62-83) in the mid-term, and 64 % (95 % CI, 57-71) long-term. Cure/dry rates were 43 % (95 % CI, 33-54), 37 % (95 % CI, 28-46), and 36 % (95 % CI, 27-46) over the same respective follow-up periods. Higher study reinjection rates were associated with improved long-term SUI outcomes. No serious adverse events were reported.ConclusionsThis quantitative review supports Macroplastique as an effective, durable, and safe treatment option for female SUI. Meta-analytic evidence suggests that long-term therapeutic benefit is frequently maintained, with some patients requiring reinjection

Toxic Algae Contamination and Demand for Shellfish: A Case Study of Demand for Mussels in Montreal

Toxic algae blooms are a worldwide phenomena, which appear to be increasing in frequency and severity. These natural events cause product contaminations that often have significant economic consequences, including supply interruptions due to closed fishing grounds, losses from human illness, and losses due to a decline in demand for the affected products. This paper evaluates the impacts of a toxic algae bloom contamination event on demand for unaffected shellfish. As an empirical example of the economic losses the shellfish industry experiences for these events, demand for mussels in Montreal is estimated using firm-level data and proxies for consumer information, during and after domoic acid contamination of Prince Edward Island mussels. Sales losses due to decreased demand are calculated. Implications of this issue for seafood safety and management policies are discussed.demand, shellfish, toxic algae, contamination, Demand and Price Analysis, Environmental Economics and Policy, Food Consumption/Nutrition/Food Safety, Resource /Energy Economics and Policy,

In-Situ Colloidal MnO2 Deposition and Ozonation of 2,4-Dinitrotoluene

Laboratory experiments are presented that demonstrate a novel in situ semipassive reactive barrier for the degradation of 2,4 dinitrotoluene created by coating aquifer surfaces by deposition of colloidal MnO2, which catalyzes ozone degradation and enhances contaminant oxidation. Ozone is added to the reactive barrier and is transported through the zone with the contaminants by existing hydraulic gradients. The communication presents the preliminary laboratory investigation demonstrating the viability of this method. Studies were conducted by coating Ottawa sand with colloidal MnO2. Results show that concentrations of MnO2 in the range of 0.2 mg/g can be deposited with no measurable change in hydraulic conductivity, that there is significant coverage of the sand material by MnO2, and the deposition was not reversible under a wide range of chemical conditions. Ozonation of 2,4-dinitrotoluene in the presence of MnO2- coated sand was demonstrated to result in pseudo-first-order degradation kinetics with respect to DNT with half-lives ranging from 28 to 22 min (at pH 6 and 7, respectively), approximately 25% faster than experiments performed in the absence of MnO2

Jet substructure and probes of CP violation in Vh production

We analyse the hVV (V = W, Z) vertex in a model independent way using Vh production. To that end, we consider possible corrections to the Standard Model Higgs Lagrangian, in the form of higher dimensional operators which parametrise the effects of new physics. In our analysis, we pay special attention to linear observables that can be used to probe CP violation in the same. By considering the associated production of a Higgs boson with a vector boson (W or Z), we use jet substructure methods to define angular observables which are sensitive to new physics effects, including an asymmetry which is linearly sensitive to the presence of CP odd effects. We demonstrate how to use these observables to place bounds on the presence of higher dimensional operators, and quantify these statements using a log likelihood analysis. Our approach allows one to probe separately the hZZ and hWW vertices, involving arbitrary combinations of BSM operators, at the Large Hadron Collider.Comment: 37 pages, 17 figures; v3 matches published versio