Detrusor Underactivity and Underactive Bladder in Women : What Is New?

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The Lake CHAd Deep DRILLing project (CHADRILL) - targeting ~ 10 million years of environmental and climate change in Africa

At present, Lake Chad ( ~13°0 N, ~14° E) is a shallow freshwater lake located in the Sahel/Sahara region of central northern Africa. The lake is primarily fed by the Chari-Logone river system draining a ~600 000 km2 watershed in tropical Africa. Discharge is strongly controlled by the annual passage of the intertropical convergence zone (ITCZ) and monsoon circulation leading to a peak in rainfall during boreal summer. During recent decades, a large number of studies have been carried out in the Lake Chad Basin (LCB). They have mostly focused on a patchwork of exposed lake sediments and outcrops once inhabited by early hominids. A dataset generated from a 673m long geotechnical borehole drilled in 1973, along with outcrop and seismic reflection studies, reveal several hundred metres of Miocene-Pleistocene lacustrine deposits. CHADRILL aims to recover a sedimentary core spanning the Miocene-Pleistocene sediment succession of Lake Chad through deep drilling. This record will provide significant insights into the modulation of orbitally forced changes in northern African hydroclimate under different climate boundary conditions such as high CO2 and absence of Northern Hemisphere ice sheets. These investigations will also help unravel both the age and the origin of the lake and its current desert surrounding. The LCB is very rich in early hominid fossils (Australopithecus bahrelghazali; Sahelanthropus tchadensis) of Late Miocene age. Thus, retrieving a sediment core from this basin will provide the most continuous climatic and environmental record with which to compare hominid migrations across northern Africa and has major implications for understanding human evolution. Furthermore, due to its dramatic and episodically changing water levels and associated depositional modes, Lake Chad's sediments resemble maybe an analogue for lake systems that were once present on Mars. Consequently, the study of the subsurface biosphere contained in these sediments has the potential to shed light on microbial biodiversity present in this type of depositional environment. We propose to drill a total of ~1800m of poorly to semi-consolidated lacustrine, fluvial, and eolian sediments down to bedrock at a single on-shore site close to the shoreline of present-day Lake Chad. We propose to locate our drilling operations on-shore close to the site where the geotechnical Bol borehole (13°280 N, 14°440 E) was drilled in 1973. This is for two main reasons: (1) nowhere else in the Chad Basin do we have such detailed information about the lithologies to be drilled; and (2) the Bol site is close to the depocentre of the Chad Basin and therefore likely to provide the stratigraphically most continuous sequence

Magmatic carbon outgassing and uptake of CO<inf>2</inf> by alkaline waters

AbstractMuch of Earth's carbon resides in the “deep” realms of our planet: sediments, crust, mantle, and core. The interaction of these deep reservoirs of carbon with the surface reservoir (atmosphere and oceans) leads to a habitable surface environment, with an equitable atmospheric composition and comfortable range in temperature that together have allowed life to proliferate. The Earth in Five Reactions project (part of the Deep Carbon Observatory program) identified the most important carbon-bearing reactions of our planet, defined as those which perhaps make our planet unique among those in our Solar System, to highlight and review how the deep and surface carbon cycles connect. Here we review the important reactions that control the concentration of carbon dioxide in our atmosphere: outgassing from magmas during volcanic eruptions and during magmatic activity; and uptake of CO2 by alkaline surface waters. We describe the state of our knowledge about these reactions and their controls, the extent to which we understand the mass budgets of carbon that are mediated by these reactions, and finally, the implications of these reactions for understanding present-day climate change that is driven by anthropogenic emission of CO2.</jats:p

Magmatic carbon outgassing and uptake of CO2 by alkaline waters

Much of Earth's carbon resides in the "deep" realms of our planet: sediments, crust, mantle, and core. The interaction of these deep reservoirs of carbon with the surface reservoir (atmosphere and oceans) leads to a habitable surface environment, with an equitable atmospheric composition and comfortable range in temperature that together have allowed life to proliferate. The Earth in Five Reactions project (part of the Deep Carbon Observatory program) identified the most important carbon-bearing reactions of our planet, defined as those which perhaps make our planet unique among those in our Solar System, to highlight and review how the deep and surface carbon cycles connect. Here we review the important reactions that control the concentration of carbon dioxide in our atmosphere: outgassing from magmas during volcanic eruptions and during magmatic activity; and uptake of CO2 by alkaline surface waters. We describe the state of our knowledge about these reactions and their controls, the extent to which we understand the mass budgets of carbon that are mediated by these reactions, and finally, the implications of these reactions for understanding present-day climate change that is driven by anthropogenic emission of CO2

Current Management of Post-radical Prostatectomy Urinary Incontinence

Prostate cancer is the second most common cancer in men worldwide. Radical prostatectomy and radiation beam therapy are the most common treatment options for localized prostate cancer and have different associated complications. The etiology of post prostatectomy incontinence is multifactorial. There is evidence in the literature that anatomic support and pelvic innervation are important factors in the etiology of post-prostatectomy incontinence. Among the many surgical and technical factors proposed in the literature, extensive dissection during surgery, damage to the neurovascular bundle and the development of postoperative fibrosis have a substantial negative impact on the continence status of men undergoing RP. Sparing of the bladder neck and anterior, and possibly posterior, fixation of the bladder-urethra anastomosis are associated with better continence rates. Overactive bladder syndrome (OAB) is multifactorial and the exact role of prostate surgery in the development of OAB is still under debate. There are several variables that could contribute to detrusor overactivity. Detrusor overactivity in patients after radical prostatectomy has been mainly attributed to a partial denervation of the bladder during surgery. However, together with bladder denervation, other hypotheses, such as the urethrovesical mechanism, have been described. Although there is conflicting evidence regarding the importance of conservative treatment after post-prostatectomy urinary incontinence, pelvic floor muscle training (PFMT) is still considered as the first treatment choice. Duloxetin, either alone or in combination with PFMT, may hasten recovery of urinary incontinence but is often associated with severe gastrointestinal and central nervous side effects. However, neither PFMT nor duloxetine may cure male stress urinary incontinence. The therapeutic decision and the chosen treatment option must be individualized for each patient according to clinical and social factors. During the recent years, the development of new therapeutic choices such as male sling techniques provided a more acceptable management pathway for less severe forms of urinary incontinence related to radical prostatectomy. Following this perspective, technological improvements and the emergence of new dedicated devices currently create the premises for a continuously positive evolution of clinical outcomes in this particular category of patients

Permeability, porosity, and mineral surface area changes in basalt cores induced by reactive transport of CO2-rich brine

Four reactive flow-through laboratory experiments (two each at 0.1 ml/min and 0.01 ml/min flow rates) at 150°C and 150 bar (15 MPa) are conducted on intact basalt cores to assess changes in porosity, permeability, and surface area caused by CO2-rich fluid-rock interaction. Permeability decreases slightly during the lower flow rate experiments and increases during the higher flow rate experiments. At the higher flow rate, core permeability increases by more than one order of magnitude in one experiment and less than a factor of two in the other due to differences in preexisting flow path structure. X-ray computed tomography (XRCT) scans of pre- and post-experiment cores identify both mineral dissolution and secondary mineralization, with a net decrease in XRCT porosity of ∼0.7% – 0.8% for all four cores. (Ultra) small-angle neutron scattering ((U)SANS) datasets indicate an increase in both (U)SANS porosity and specific surface area (SSA) over the ∼ 1 nm- to 10 µm-scale range in post-experiment basalt samples, with differences due to flow rate and reaction time. Net porosity increases from summing XRCT and (U)SANS analyses are consistent with core mass decreases. (U)SANS data suggest an overall preservation of the pore structure with no change in mineral surface roughness from reaction, and the pore structure is unique in comparison to previously published basalt analyses. Together, these datasets illustrate changes in physical parameters that arise due to fluid-basalt interaction in relatively low pH environments with elevated CO2 concentration, with significant implications for flow, transport, and reaction through geologic formations

Permeability, porosity, and mineral surface area changes in basalt cores induced by reactive transport of CO2-rich brine

Four reactive flow-through laboratory experiments (two each at 0.1 ml/min and 0.01 ml/min flow rates) at 150°C and 150 bar (15 MPa) are conducted on intact basalt cores to assess changes in porosity, permeability, and surface area caused by CO2-rich fluid-rock interaction. Permeability decreases slightly during the lower flow rate experiments and increases during the higher flow rate experiments. At the higher flow rate, core permeability increases by more than one order of magnitude in one experiment and less than a factor of two in the other due to differences in preexisting flow path structure. X-ray computed tomography (XRCT) scans of pre- and post-experiment cores identify both mineral dissolution and secondary mineralization, with a net decrease in XRCT porosity of ∼0.7% – 0.8% for all four cores. (Ultra) small-angle neutron scattering ((U)SANS) datasets indicate an increase in both (U)SANS porosity and specific surface area (SSA) over the ∼ 1 nm- to 10 µm-scale range in post-experiment basalt samples, with differences due to flow rate and reaction time. Net porosity increases from summing XRCT and (U)SANS analyses are consistent with core mass decreases. (U)SANS data suggest an overall preservation of the pore structure with no change in mineral surface roughness from reaction, and the pore structure is unique in comparison to previously published basalt analyses. Together, these datasets illustrate changes in physical parameters that arise due to fluid-basalt interaction in relatively low pH environments with elevated CO2 concentration, with significant implications for flow, transport, and reaction through geologic formations