Urologists’ Views on Contact With Industry Representatives: A Pilot Survey

Purpose: The current survey aims to determine the various ways in which urologists at all levels of training view the nature of their relationships with industry representatives, and the effects these relationships may have on clinical practice and behavior. Methods: We sent an anonymous SurveyMonkey® questionnaire to a cohort of approximately 1700 practicing urologists in various urologic subspecialties across the country. The questionnaire elicited information related to demographics, personal awareness of institutional guidelines regarding PR/DMR, and opinions regarding the following: •the ability of industry-supplied gifts to compromise judgment •the utility and appropriateness of industry representatives in the clinical setting •the effects of governmental regulations addressing physician-industry contact •the effects of receipt of promotional items in influencing clinical behaviors •the need for laws governing physician contact with industry representatives Opinions were reported on 5-point Likert scales ranging from “Strongly Agree” to “Strongly Disagree” allowing the respondent the freedom to be “Undecided”. Finally, a free text response was made available at the end of the survey for comments and feedback regarding the survey. In the analysis phase “Strongly Agree” and “Agree” responses were pooled, as were “Strongly Disagree” and “Disagree”. Four respondents were excluded from the final analysis because they failed to complete the opinions sections regarding PR/DMR

Public Health Measures Derived from the Jewish Tradition: II. Washing and Cleaning

The authors discuss public health measures that are described in the Torah and rabbinic literature, focusing on hand washing and cleaning

Public Health Measures Derived from the Jewish Tradition

The authors discuss public health measures that are described in the Torah and rabbinic literature

Effect of Duration of Symptoms on Orchiectomy Rates in Testicular Torsion in Patients Under 25: Important Prognostic Trends

The purpose of this study is to explore the relationship between duration of symptoms in testicular torsion and the effect on orchiectomy rates, with the intention of establishing an updated timeline for clinical management and surgical urgency

Extensional faulting on Tinos island, Aegean sea, Greece: How many detachments?

Zircon and apatite fission track (ZFT and AFT) and (U-Th)/He, 40Ar/39Ar hornblende, and U-Pb zircon ages from the granites of Tinos Island in the Aegean Sea, Greece, suggest, together with published ZFT data, that there are three extensional detachments on Tinos. The Tinos granites crosscut the Tinos detachment. Cooling of the granites was controlled by the Livadi detachment, which occurs structurally above the Tinos detachment. Our U-Pb zircon age is 14.6 ± 0.2 Ma and two 40Ar/39Ar hornblende ages are 14.4 ± 0.4 and 13.7 ± 0.4 Ma. ZFT and AFT ages go from 14.4 ± 1.2 to 12.2 ± 1.0 Ma and 12.8 ± 2.4 to 11.9 ± 2.0 Ma. (U-Th)/He ages are from 10.4 ± 0.2 to 9.9 ± 0.2 Ma (zircon) and 11.9 ± 0.5 to 10.0 ± 0.3 Ma (apatite). All ages decrease northeastward in the direction of hanging wall transport on the Livadi detachment and age-distance relationships yield a slip rate of 2.6 (+3.3 / −1.0) km Ma−1. This rate is smaller than a published slip rate of 6.5 km Ma−1 for the Vari detachment, which is another detachment structurally above the Tinos detachment. Because of the different rates and because published ZFT ages from the footwall of the Vari detachment are ∼10 Ma, we propose that the Vari detachment has to be distinguished from the older Livadi detachment. We discuss various models of how the extensional detachments may have evolved and prefer a scenario in which the Vari detachment cut down into the footwall of the Livadi detachment successively exhuming deeper structural units. The thermochronologic ages demonstrate the importance of quantitative data for constraining localization processes during extensional deformation

Repeatability of Foveal Measurements Using Spectralis Optical Coherence Tomography Segmentation Software

PURPOSE: To investigate repeatability and reproducibility of thickness of eight individual retinal layers at axial and lateral foveal locations, as well as foveal width, measured from Spectralis spectral domain optical coherence tomography (SD-OCT) scans using newly available retinal layer segmentation software. METHODS: High-resolution SD-OCT scans were acquired for 40 eyes of 40 young healthy volunteers. Two scans were obtained in a single visit for each participant. Using new Spectralis segmentation software, two investigators independently obtained thickness of each of eight individual retinal layers at 0°, 2° and 5° eccentricities nasal and temporal to foveal centre, as well as foveal width measurements. Bland-Altman Coefficient of Repeatability (CoR) was calculated for inter-investigator and inter-scan agreement of all retinal measurements. Spearman's ρ indicated correlation of manually located central retinal thickness (RT0) with automated minimum foveal thickness (MFT) measurements. In addition, we investigated nasal-temporal symmetry of individual retinal layer thickness within the foveal pit. RESULTS: Inter-scan CoR values ranged from 3.1μm for axial retinal nerve fibre layer thickness to 15.0μm for the ganglion cell layer at 5° eccentricity. Mean foveal width was 2550μm ± 322μm with a CoR of 13μm for inter-investigator and 40μm for inter-scan agreement. Correlation of RT0 and MFT was very good (ρ = 0.97, P 0.05); however this symmetry could not be found at 5° eccentricity. CONCLUSIONS: We demonstrate excellent repeatability and reproducibility of each of eight individual retinal layer thickness measurements within the fovea as well as foveal width using Spectralis SD-OCT segmentation software in a young, healthy cohort. Thickness of all individual retinal layers were symmetrical at 2°, but not at 5° eccentricity away from the fovea