11 research outputs found
A systematic review of protocol studies on conceptual design cognition
This paper reports the first systematic review and synthesis of protocol studies on conceptual design cognition. 47 protocol studies from the domains of architectural design, engineering design, and product de-sign engineering were reviewed towards answering the following re-search question: What is our current understanding of the cognitive processes involved in conceptual design tasks carried out by individual designers? Studies were found to reflect three viewpoints on the cognitive nature of designing, namely: design as search; design as ex-ploration; and design activities. Synthesising the findings of individual studies yielded a classification of cognitive processes involved in con-ceptual design tasks, described in different terms across different viewpoints. Towards a common terminology, these processes are posi-tioned within the cognitive psychology literature, revealing seven basic types of process that appear to be fundamental to designing across all viewpoints: memory (working and long term); visual perception; men-tal imagery; attention; semantic association; cognitive control; and higher-order processes, e.g. analysis and reasoning. The development of common cognitive models of conceptual design, grounded in a sci-entifically rigorous understanding of design cognition, is identified as an avenue for future research
Haematuria: a three year experience in a specialist urological facility in Sri Lanka.
Objective: Haematuria is an alarm sign which needs exclusion of sinister pathology. Data regarding haematuria is sparse in Sri Lanka. Our objective was to identify the age related causes, associated presentations of benign & malignant conditions and to assess the success of diagnostic tools in achieving the proper diagnosis in patients with haematuria. Methods: We retrospectively analyzed our database consisting of 332 Patients over 3 years. Results: Mean age was 56.13 (range 4 – 91), age related causes of haematuria are as follows. Cause of haematuria <40 (n=69) Calculi(81.5%) UTI (12.3%) Malignancy(6%) >40 (n=263) Malignancy(41%) Calculi(31%) Vascular prostate(11%) Majority were males (75%). Overall, 34%(n=113) patients had malignancies and 66%(n=219) had benign disease. LUTS(44%), pain(45.5%), retention of urine(14.8%), Fever(7.2%) were the common associated presentations. Passage of clots(16.6%), particulate matter(11.4%) pneumaturia, had significant relationship to malignancies. 62.7%(n=208) had frank haematuria of which 40.4%(n=84) had malignancies. Of the 37.3%(n=124) with microscopic haematuria, 23.4%(n=29) were malignant. Of the 54.5%(n=181) who had painless haematuria, 50.3%(n=91) were malignant. Only 14.6% of those with painful haematuria had cancer. Overall, 47.8% were TCC, 34% RCC & 17.4% Prostate Carcinoma.Physical examination, urine analysis and basic imaging had a diagnostic yield of over 80%, uro-endoscopy was needed to diagnose further 8% patients. 3% patients would have missed the diagnosis if not for axial imaging. Conclusions: The high proportion of cancer and overall diagnostic yield in patients with haematuria emphasizes the need for comprehensive evaluation. Lack of pain, passage of clots, particles & pneumaturia had notable associations with malignancy.
Prostate cancer - experience from a specialist urological facility in Sri Lanka
Objective: Prostate cancer(CaP) is one of the a commonest malignancies in the aging male. Data on this aspect is sparse in Sri Lanka. Following a initial report, we present 4½ year review with regard to the mode of presentation, stage and histological characteristics & therapeutic options for CaP. Methods: This is a prospective cohort study of 236 CaP patients presented to a specialist urology unit from 2007 up to May 2012. Results: Out of 236 CaP diagnosed, mean age was 70.23.The peak incidence was in the age group 71-75 with 75% of patients being diagnosed at this age interval. LUTS(52.5%), Retention of urine(33.5%) & backpain(31%) were the commonest presentations. 51% patients had their initial PSA level above 40ng/ml & only 10% were PSA “non secretors”. Majority of patients (56.4%) had Gleasons 7 or higher histological patterns and 77% had advanced disease at presentation. Androgen ablation therapy was the commonest treatment modality 63%(n=148) used. Out of them a majority of 90%(n=134) underwent bilateral orchidectomy. Only 15.4%(n=36) were suitable for treatment with a curative intent, 9% were treated with radical radiotherapy while 6.4% underwent radical prostatectomy. 17%(n=41) of the patients required a treatment with combination of above therapies. Conclusions: This study highlights the need of higher awareness amongst men beyond 50 years regarding prostate cancer and development of a protocol based strategy to handle CaP which is likely to be significant health care burden in an increasingly aging population in Sri Lanka
Biochemical and pharmacological role of A1adenosine receptors and their modulation as novel therapeutic strategy
Adenosine, the purine nucleoside, mediates its effects through activation of four G-protein coupled adenosine receptors (ARs) named as A1, A2A, A2Band A3. In particular, A1ARs are distributed through the body, primarily inhibitory in the regulation of adenylyl cyclase activity and able to reduce the cyclic AMP levels. Considerable advances have been made in the pharmacological and molecular characterization of A1ARs, which had been proposed as targets for the discovery and drug design of antagonists, agonists and allosteric enhancers. Several lines of evidence indicate that adenosine interacting with A1ARs may be an endogenous protective agent in the human body since it prevents the damage caused by various pathological conditions, such as in ischemia/hypoxia, epileptic seizures, excitotoxic neuronal injury and cardiac arrhythmias in cardiovascular system. It has also been reported that one of the most promising targets for the development of new anxiolytic drugs could be A1ARs, and that their activation may reduce pain signaling in the spinal cord. A1AR antagonists induce diuresis and natriuresis in various experimental models, mediating the inhibition of A1ARs in the proximal tubule which is primarily responsible for reabsorption and fluid uptake. In addition, the results of various studies indicate that adenosine is present within pancreatic islets and is implicated through A1ARs in the regulation of insulin secretion and in glucose concentrations. In the present paper it will become apparent that A1ARs could be implicated in the pharmacological treatment of several pathologies with an important influence on human health