Holmium Laser Enucleation of the Prostate

Introduction: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified “top-down” surgical technique. Materials and Methods: In this video, two techniques are presented that were performed by two (A.E.K., J.E.L.) surgeons at our institution. Results: In the examples of the two enucleation techniques mentioned, outcomes are similar with regard to surgical and functional outcomes. Conclusions: HoLEP as a treatment for BPH with associated lower urinary tract symptoms (LUTS) results in excellent patient outcomes and can be offered to patients regardless of prostate volume

Fractal position spectrum for a class of oscillators

We show that the position operator for a class of $f$-deformed oscillators has a fractal spectrum, homeomorphic to the Cantor set, via a unitary transformation to Harper's model. The class corresponds to a choice of ergodic operators for the deformation function. Hofstadter's butterfly is plotted by direct diagonalization of a position operator with an originally vanishing diagonal. This is equivalent to a one-dimensional hamiltonian without potential.Comment: 9 pages, 2 figure

Weak Hyperbolicity on Periodic Orbits for Polynomials

We prove that if the multipliers of the repelling periodic orbits of a complex polynomial grow at least like $n^{5 + \epsilon}$, for some $\epsilon > 0$, then the Julia set of the polynomial is locally connected when it is connected. As a consequence for a polynomial the presence of a Cremer cycle implies the presence of a sequence of repelling periodic orbits with "small" multipliers. Somehow surprinsingly the proof is based in measure theorical considerations.Comment: 6 pages, Late

The Transition to College Process in PR-CETP Scholars

This article describes a study about the experiences of a group of students during the transition from high school to college. The students are future teachers who evidenced a high level of academic achievement in high school and received merit scholarships from the Puerto Rico Collaborative for Excellence in Teacher Preparation (PR-CETP). Two groups of students were compared: those who sustained a high GPA during their freshman year, and those who did not and, therefore, no longer qualified for the scholarship. The study was carried out through focused interviews with eight students, from three universities, four of whom maintained the scholarship and four who did not. Findings indicate that the main problems encountered were academic and social, and that the students received support from their families during the entire process. Regarding formal support, they pointed out that they felt highly satisfied with the services provided by PR-CETP and the universities, but they also pointed out (particularly those who lost the scholarship) that they needed additional services from the universities. They suggested, for example, better tutoring, and social activities among the scholars. The interviewed students, in general, consider that they faced the transition successfully since most of them described their academic, emotional, and social status as satisfactory at the time of the interviews

The experience of the New Hampshire Community Loan Fund in mainstreaming of acquisition loans to cooperative manufactured housing communities

This study aimed to provide evidence of the extent to which a financial product―land acquisition loans for manufactured home parks―performed well and was adopted by mainstream financial institutions. The study hypothesized that The New Hampshire Community Loan Fund’s effective introduction of the new loan product, coupled with excellent loan performance, led banks to adopt the loan product