Factors Associated with Subjective Improvement Following Midurethral Sling Procedures for Stress Urinary Incontinence: A Masters Thesis

Background Female stress urinary incontinence (SUI) greatly affects quality of life. The midurethal sling (MUS) procedure has been widely accepted as the standard of care treatment for SUI, although there is little information regarding patients\u27 subjective reports of symptom improvement. Objectives The objective of this study was to identify clinical and demographic characteristics that predict subjective symptom improvement following MUS procedures in women with SUI. Materials and Methods The study design was retrospective cohort. Subjects included women who underwent MUS between 2006 and 2008, returned mailed surveys and met our predefined inclusion criteria. Pre-operative data included demographics, prior surgery, co-morbid diseases, urodynamics and concomitant reconstructive surgery. Subjective improvement was measured by score improvement on the UIQ-7, UDI-6, the UDI stress subscale and Question 3 of the UDI, Do you experience urine leakage related to physical activity, coughing, or sneezing? Results The mean age of the study sample was 57 years, parity was 2.5 and BMI was 28. Subjects with lower MUCP demonstrated more improvement on the UIQ-7. ΔUDI-6 stress subscale scores were more sensitive to symptom change than either the ΔUDI-6 or ΔUIQ-7. Older, menopausal subjects with urethral hypermobility and concomitant vaginal suspension showed less improvement than subjects without these characteristics. After controlling for urethral straining angle, PVR, menopause and time out from surgery, older age and concomitant vaginal suspension were associated with persistent post-op symptoms on the UDI-6 Question 3 and age remained the only variable associated with persistent symptoms on the UDI-6 stress subscale. Conclusion Concurrent vaginal suspension and advancing age were risk factors for persistent symptoms following MUS procedures in patients with SUI. Symptoms may recur after 24 post-operative months. Clinicians are encouraged to provide additional preoperative counseling to those women who are at greatest risk for persistent symptoms

Gilbert damping of CoFe-alloys

We report structural, magnetic and dynamic properties of polycrystalline coxfe1-x-alloy films on sapphire, silicon, and mgo substrates across the full composition range, by using a vector network analyser ferromagnetic resonance measurement technique (vna-fmr), superconducting quantum interference device magnetometry (squid) and x-ray diffraction (xrd). in the approximate vicinity of 28% co, we observe a minimum of the damping parameter, associated with a reduction in the density of states to a minimum value at the fermi energy level. for films on all substrates, we find magnetic damping of the order of 4-5 . 10(-3), showing that the substrate does not play a major role. using a post-annealing process, we report a decrease of the magnetic damping down to 3-4 . 10(-3). we find that the saturation magnetization depends approximately reciprocally on the damping parameter with varying alloy composition

Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella

Abstract Purpose Tension band wiring is commonly used for fixation of simple transverse fractures. The popular configuration is parallel Kirschner wires (K-wires) and a stainless steel wire loop placed in a vertically oriented figure-of-8. Methods We used a wooden model of a patella with a midway transverse fracture and compared four different types of fixation. The first construct had a vertical figure-of-8 with one twist of wire. The second contained a vertical figure-of-8 with two twists of wire. The third was a vertical figure-of-8 with two twists of wire placed at adjacent corners while the last one had a horizontal figure-of-8 with two twists of wire placed at adjacent corners. Interfragmentary compression at the point of wire breakage was measured for each construct as well as permanent displacement on cyclic loading. Results Placement of the figure-of-eight in a horizontal orientation with two wire twists at the corner improved interfragmentary compression by 63% (p < 0.05, Tukey post hoc test). On cyclic loading, all the constructs with vertical figure-of-eight but none with a horizontal construct failed (p = 0.01; Fisher's exact test). Permanent fracture displacement after cyclic loading was 67% lower with horizontal figure-of-eight constructs (p < 0.05; t test). Conclusion Placing wire twists at the corner and a horizontal placement of figure-of-8 improves stability of the construct

Seismic noise-based methods for soft-rock landslide characterization

International audienceIn order to better understand the mechanics and dynamic of landslides, it is of primary interest to image correctly their internal structure. Several active geophysical methods are able to provide the geometry of a given landslide, but were rarely applied in 3 dimensions in the past. The main disadvantages of methods like seismic reflection or electrical tomographies are that there are heavy to set up, require for some heavy processing tools to implement, and consequently are expensive and time consuming. Moreover, in the particular case of soft-rock landslides, their respective sensitivity and resolution are not always adequate to locate the potential slip surfaces. The passive methods, which require lighter instrumentation and easier processing tools, can represent an interesting alternative, particularly for difficult accessible landslides. Among them, the seismic noise based methods have shown increasing applications and developments, in particular for seismic hazard mapping in urban environment. In this paper, we present seismic noise investigations carried out on two different sites, a mudslide and a translational clayey landslide where independent measurements (geotechnical and geophysical tests) were performed earlier. Our investigations were composed of H/V measurements, which are fast and easy to perform in the field, in order to image shear wave contrasts (slip surfaces), and seismic noise array method, which is heavier to apply and interpret, but provides S-waves velocity profile versus depth. The comparisons between geophysical investigations and geotechnical information proved the applicability of such passive methods in 3D complexes, but also some limitations. Indeed interpretation of these measurements can be tricky in rough and non-homogeneous terrains

Measurement of the W+W-gamma Cross Section and Direct Limits on Anomalous Quartic Gauge Boson Couplings at LEP

The process e+e- -> W+W-gamma is analysed using the data collected with the L3 detector at LEP at a centre-of-mass energy of 188.6GeV, corresponding to an integrated luminosity of 176.8pb^-1. Based on a sample of 42 selected W+W- candidates containing an isolated hard photon, the W+W-gamma cross section, defined within phase-space cuts, is measured to be: sigma_WWgamma = 290 +/- 80 +/- 16 fb, consistent with the Standard Model expectation. Including the process e+e- -> nu nu gamma gamma, limits are derived on anomalous contributions to the Standard Model quartic vertices W+W- gamma gamma and W+W-Z gamma at 95% CL: -0.043 GeV^-2 < a_0/Lambda^2 < 0.043 GeV^-2 0.08 GeV^-2 < a_c/Lambda^2 < 0.13 GeV^-2 0.41 GeV^-2 < a_n/Lambda^2 < 0.37 GeV^-2

Production of Single W Bosons at \sqrt{s}=189 GeV and Measurement of WWgamma Gauge Couplings

Single W boson production in electron-positron collisions is studied with the L3 detector at LEP. The data sample collected at a centre-of-mass energy of \sqrt{s} = 188.7GeV corresponds to an integrated luminosity of 176.4pb^-1. Events with a single energetic lepton or two acoplanar hadronic jets are selected. Within phase-space cuts, the total cross-section is measured to be 0.53 +/- 0.12 +/- 0.03 pb, consistent with the Standard Model expectation. Including our single W boson results obtained at lower \sqrt{s}, the WWgamma gauge couplings kappa_gamma and lambda_gamma are determined to be kappa_gamma = 0.93 +/- 0.16 +/- 0.09 and lambda_gamma = -0.31 +0.68 -0.19 +/- 0.13

Search for an invisibly decaying Higgs boson in e^+e^- collisions at \sqrt{s} = 183 - 189 GeV

A search for a Higgs boson decaying into invisible particles is performed using the data collected at LEP by the L3 experiment at centre-of-mass energies of 183 GeV and 189 GeV. The integrated luminosities are respectively 55.3 pb^-1 and 176.4 pb^-1. The observed candidates are consistent with the expectations from Standard Model processes. In the hypothesis that the production cross section of this Higgs boson equals the Standard Model one and the branching ratio into invisible particles is 100%, a lower mass limit of 89.2 GeV is set at 95% confidence level