The UK National Prolapse Survey: 10 years on

INTRODUCTION AND HYPOTHESIS: To assess trends in the surgical management of pelvic organ prolapse (POP) amongst UK practitioners and changes in practice since a previous similar survey. METHODS: An online questionnaire survey (Typeform Pro) was emailed to British Society of Urogynaecology (BSUG) members. They included urogynaecologists working in tertiary centres, gynaecologists with a designated special interest in urogynaecology and general gynaecologists. The questionnaire included case scenarios encompassing contentious issues in the surgical management of POP and was a revised version of the questionnaire used in the previous surveys. The revised questionnaire included additional questions relating to the use of vaginal mesh and laparoscopic urogynaecology procedures. RESULTS: Of 516 BSUG members emailed, 212 provided completed responses.. For anterior vaginal wall prolapse the procedure of choice was anterior colporrhaphy (92% of respondents). For uterovaginal prolapse the procedure of choice was still vaginal hysterectomy and repair (75%). For posterior vaginal wall prolapse the procedure of choice was posterior colporrhaphy with midline fascial plication (97%). For vault prolapse the procedure of choice was sacrocolpopexy (54%) followed by vaginal wall repair and sacrospinous fixation (41%). The laparoscopic route was preferred for sacrocolpopexy (62% versus 38% for the open procedure). For primary prolapse, vaginal mesh was used by only 1% of respondents in the anterior compartment and by 3% in the posterior compartment. CONCLUSION: Basic trends in the use of native tissue prolapse surgery remain unchanged. There has been a significant decrease in the use of vaginal mesh for both primary and recurrent prolapse, with increasing use of laparoscopic procedures for prolapse

The mass and radius of the M dwarf companion to GD 448

We present spectroscopy and photometry of GD 448, a detached white dwarf - M dwarf binary with a period of 2.47h. We find that the NaI 8200A feature is composed of narrow emission lines due to irradiation of the M dwarf by the white dwarf within broad absorption lines that are essentially unaffected by heating. Combined with an improved spectroscopic orbit and gravitational red shift measurement from spectra of the H-alpha line, we are able to derive masses for the white dwarf and M dwarf directly (0.41 +/- 0.01 solar masses and 0.096 +/- 0.004 solar masses, respectively). We use a simple model of the CaII emission lines to establish the radius of the M dwarf assuming the emission from its surface to be proportional to the incident flux per unit area from the white dwarf. The radius derived is 0.125 +/- 0.020 solar radii. The M dwarf appears to be a normal main-sequence star in terms of its mass and radius and is less than half the size of its Roche lobe. The thermal timescale of the M dwarf is much longer than the cooling age of the white dwarf so we conclude that the M dwarf was unaffected by the common-envelope phase. The anomalous width of the H-alpha emission from the M dwarf remains to be explained, but the strengh of the line may be due to X-ray heating of the M dwarf due to accretion onto the white dwarf from the M dwarf wind.Comment: 8 pages, 8 figure

Precision electromagnetic structure of decuplet baryons in the chiral regime

The electromagnetic properties of the baryon decuplet are calculated in quenched QCD on a 20^3 x 40 lattice with a lattice spacing of 0.128 fm using the fat-link irrelevant clover (FLIC) fermion action with quark masses providing a pion mass as low as 300 MeV. Magnetic moments and charge radii are extracted from the electric and magnetic form factors for each individual quark sector. From these, the corresponding baryon properties are constructed. We present results for the higher order moments of the spin-3/2 baryons, including the electric quadrupole moment E2 and the magnetic octupole moment M3. The world's first determination of a non-zero M3 form factor for the Delta baryon is presented. With these results we provide a conclusive analysis which shows that decuplet baryons are deformed. We compare the decuplet baryon results from a similar lattice calculation of the octet baryons. We establish that the environment sensitivity is far less pronounced in the case of the decuplet baryons compared to that in the octet baryons. A surprising result is that the charge radii of the decuplet baryons are generally smaller than that of the octet baryons. The magnetic moment of the Delta^+ reveals a turn over in the low quark mass region, making it smaller than the proton magnetic moment. These results are consistent with the expectations of quenched chiral perturbation theory. A similar turn over is also noticed in the magnetic moment of the Sigma^*0, but not for Xi^* where only kaon loops can appear in quenched QCD. The electric quadrupole moment of the Omega^- baryon is positive when the negative charge factor is included, and is equal to 0.86 +- 0.12 x 10^-2 fm^2, indicating an oblate shape.Comment: 30 pages, 32 figure

Statistical analysis of general aviation VG-VGH data

To represent the loads spectra of general aviation aircraft operating in the Continental United States, VG and VGH data collected since 1963 in eight operational categories were processed and analyzed. Adequacy of data sample and current operational categories, and parameter distributions required for valid data extrapolation were studied along with envelopes of equal probability of exceeding the normal load factor (n sub z) versus airspeed for gust and maneuver loads and the probability of exceeding current design maneuver, gust, and landing impact n sub z limits. The significant findings are included