Validation of a Visual Prostate Symptom Score in Men With Lower Urinary Tract Symptoms in a Health Safety Net Hospital

OBJECTIVE: To evaluate the correlation between the International Prostate Symptom Score (IPSS) and the Visual Prostate Symptom Score (VPSS), a visual assessment of urinary stream, frequency, nocturia, and quality of life using pictograms, in a health safety net population. METHODS: Men presenting to San Francisco General Hospital with lower urinary tract symptoms completed the IPSS and the VPSS without and then with assistance. Statistical analysis was performed using the chi-square test, the Wilcoxon signed rank test, and the Spearman rank correlation. RESULTS: One hundred twenty-one patients were enrolled between December 2013 and May 2014 with a mean age of 54 years. There were statistically significant correlations between total VPSS and total IPSS (ρ = 0.71; P <.001) and for frequency (ρ = 0.47; P <.001), nocturia (ρ = 0.69; P <.001), force of stream (ρ = 0.65; P <.001), and quality of life (ρ = 0.69; P <.001). In addition, there were statistically significant correlations between total VPSS and both VPSS quality of life (ρ = 0.69; P <.001) and Q(max) (ρ = −0.473; P = .006). The mean absolute disagreement for participants who took the IPSS independently vs with assistance was greater than for those who took the VPSS independently vs assistance for all symptoms: frequency (0.64 vs 0.3, respectively; P <.001), weak stream (0.82 vs 0.14, respectively; P <.001), nocturia (0.38 vs 0.23, respectively; P = .023), and quality of life (0.63 vs 0.32, respectively; P = .005). CONCLUSION: Many men altered their IPSS responses when they received assistance. There was significantly less alteration in responses using the VPSS, suggesting that the VPSS is useful in determining lower urinary tract symptoms, particularly in patients with limited education and literacy

Industrial disputes and the Canadian act; facts about nine years' experience with compulsory investigation in Canada,

"Reprinted from the Survey, March 31, 1917."Bibliography: p. 39-41.Mode of access: Internet

The clothing and textile industries in New York and its environs, present trends and probable future developments / by B.M. Selekman, Henriette R. Walter ... W.J. Couper.

104 p. : ill. ; 28 cm

The clothing and textile industries in New York and its environs, present trends and probable future developments /

Mode of access: Internet

Análise microestrutural e tenacidade ao impacto da ZAC do aço inoxidável ferrítico com 11%Cr

O aço inoxidável ferrítico possibilita, em função de suas características, o uso em diversos campos da engenharia. Dentre esses é possível citar a industria do petróleo e gás, de celulose açucareira, de transporte, entre outras. Atualmente, o desenvolvimento de novas ligas para a substituição dos aços ao carbono no que se refere ao setor de transporte de carga, levou muitos fabricantes a adotarem a liga ferrítica com base de cromo entre 11% e 12%, implementando a tal situação, uma maior vida util. A utilização dessa nova classe de aço inoxidável ferrítico gera uma demanda no que tange à pesquisas das soldas desses aços. Neste trabalho, buscou-se analisar a região soldada de um aço inoxidável ferrítico experimental contendo 11% de cromo, realizando para tal um estudo de sua microestrutura, e tenacidade ao impacto do metal de base e da zona afetada pelo calor (ZAC). A avaliação mostrou bons resultados nas propriedades mecânicas medidas nas duas regiões analisadas. Entretanto, verificou-se uma perda acentuada da tenacidade ao impacto na ZAC em relação ao metal de base