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Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Open Journal of Obstetrics and Gynecology 2023年第2期13卷 133-141页

作者： Haley Calcagnotto Laura Leite Vittoria Dreher Longo Gustavo Messinger Piva Thais Gasperin Alexandra Maria Flores Bordignon Renata Rauber Felkl jose mauro madi Gabriela Françoes Rostirolla Obstetric and Gynecology Department Caxias do Sul University Caxias do Sul Brazil Caxias do Sul University Caxias do Sul Brazil

Background: Urinary incontinence is defined as the involuntary loss of urine, which can affect up to 45% of women after menopause. Radiofrequency is a non-invasive procedure that involves the application of an electromagnetic wave that through heat generation promotes neocollagenesis and neoeslatinogenesis in the vaginal epithelium. This energy-based technology has been studied as a potential alternative for the treatment of genitourinary syndrome of menopause and urinary incontinence. Objective: To review the recent literature (from 2020 to June 2022) on the use of transvaginal radiofrequency in the treatment of stress urinary incontinence, by searching articles at databases of Capes, PubMed Cochrane and Scielo. Methods: The descriptor terms “Urinary Incontinence/therapy” [Majr] AND “Urinary Incontinence, Stress/therapy” [Majr] AND RADIOFREQUENCY-Search Results-PubMed, [“woman” OR “women”] AND [“urinary incontinence” OR “stress urinary incontinence”] AND Radiofrequency were used, with a filter for the period 2020 to 2022. Conclusion: The studies evaluated in this review demonstrated significant results of radiofrequency in the resolution or reduction of complaints of women with urinary incontinence, especially stress urinary incontinence, but most of these studies presented a low methodological quality. There is, therefore, a lack of studies with longer follow-ups, evaluation of cost-effectiveness, randomized clinical trials with objective outcomes and the use of validated questionnaires with international acceptance.

关键词： Radiofrequency Urinary Incontinence Genitourinary Syndrome of Meno-pause Vaginal Atrophy

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Characteristics of the CsI:Tl Scintillator Crystal for X-Ray Imaging Applications

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Materials Sciences and Applications 2018年第2期9卷 268-280页

作者： Maria da Conceicao Costa Pereira Tufic madi Filho jose Roberto Berretta Carlos Henrique de Mesquita Nuclear and Energy Research Institute—IPEN/CNEN-SP Sao PauloBrazil

Scintillators are high-density luminescent materials that convert X-rays to visible light. Thallium doped cesium iodide (CsI:Tl) scintillation materials are widely used as converters for X-rays into visible light, with very high conversion efficiency of 64.000 optical photons/MeV. CsI:Tl crystals are commercially available, but, the possibility of developing these crystals into different geometric shapes, meeting the need for coupling the photosensor and reducing cost, makes this material very attractive for scientific research. The objective of this work was to study the feasibility of using radiation sensors, scintillators type, developed for use in imaging systems for X-rays. In this paper, the CsI:Tl scintillator crystal with nominal concentration of the 10-3 M was grown by the vertical Bridgman technique. The imaging performance of CsI:Tl scintillator was studied as a function of the design type and thickness, since it interferes with the light scattering and, hence, the detection efficiency plus final image resolution. The result of the diffraction X-ray analysis in the grown crystals was consistent with the pattern of a face-centered cubic (fcc) crystal structure. Slices 25 × 2 × 3 mm3 (length, thickness, height) of the crystal and mini crystals of 1 × 2 × 3 mm3 (length, thickness, height) were used for comparison in the imaging systems for X-rays. With these crystals scintillators, images of undesirable elements, such as metals in food packaging, were obtained. One-dimensional array of photodiodes and the photosensor CCD (Coupled Charge Device) component were used. In order to determine the ideal thickness of the slices of the scintillator crystal CsI:Tl, Monte Carlo method was used.

关键词： Crystal Growth Scintillator X-Ray Imaging Systems Photodiodes Coupled Charge Device

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Effect of sublethal doses of the insecticide imidacloprid on adaptive traits of Drosophila melanogaster:Response to treatment over and after 15 consecutive generations

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Open Journal of Animal Sciences 2013年第4期3卷 8-19页

作者： Thais de Franca Patarro Antonio jose Manzato Lilian madi-Ravazzi Hermione E.M.de Campos Bicudo Departmento de Biologia Universidade Estadual Paulista-UNESPInstituto de BiocienciasLetras e Ciencias Exatas-IBILCESao Jose do Rio PretoBrazil Departmento de Computacao Universidade Estadual Paulista-UNESPInstituto de BiocienciasLetras e Ciencias Exatas-IBILCESao Jose do Rio PretoBrazil

A sublethal dose of Imidacloprid, considered actually as the most widely used insecticide against biting and sucking insects, was administered to Drosophila melanogaster for detecting effects on biological traits. The choice of this species as organism-model potentially opens the possibility to explore more deeply the processes involved in those effects because, among other reasons, there is a large accumulation of biological knowledge on this species and because it propitiates multiple approaches in laboratory and nature. The flies were treated along 15 consecutive generations. F1 parents were randomly taken among virgin flies from the stocks, but the parents of the successive generations were the first 15 couples emerged in the previous one. The number of progeny (productivity) and the duration of the emergence period were analyzed in every generation revealing insecticide toxicity in 12 of the 15 generations. The observation of an increase in the number of progeny over the generations, which occurred in both control and treated experiments (although maintaining higher productivity in the control), suggested an effect of the use of the first 15 emerged couples in successive generations. A comparative analysis of the mortality of the F15 adult flies exposed to imidacloprid by contact, which involved flies from the control, treatment and from the stocks that originated the experiments, reinforced this idea, indicating a genetic interplay of the emergence speed with productivity and adult tolerance to the insecticide, a subject that may be better explored in another study. Toxicity was also observed for the traits longevity, viability during development from egg to adult and oviposition rate. Considering the present intensive use of imidacloprid, the harmful effects observed in these important biological characteristics may be considered able to decrease the adaptive value of D. melanogaster populations exposing them at risk of decline.

关键词： Productivity Longevity Emergence Time Period Egg-Adult Viability Oviposition Tolerance

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Therapeutic and prophylactic thalidomide in TNBS-induced colitis: Synergistic effects on TNF-α, IL-12 and VEGF production

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World Journal of Gastroenterology 2007年第15期13卷 2166-2173页

作者： Ana Teresa Carvalho Heitor Souza Antonio jose Carneiro Morgana Castelo-Branco Kalil madi Alberto Schanaider Flavia Silva Fernando Antonio Pereira Júnior Márcia G Pereira Cláudio Tortori Ilana Dines Jane Carvalho Eduardo Rocha Celeste Elia Departamento de Clínica Médica Hospital Universitário Clementino Fraga Filho Brazil Departamento de Histologia e Embriologia Laboratório de Imunologia Celular Instituto de Ci(e|^)ncias BiomédicasUniversidade Federal do Rio de Janeiro21941-590Brazil Laboratório Multidisciplinar de Pesquisa Anatomia Patológica Hospital Universitário Clementino Fraga FilhoBrazil e Cirurgia Experimental Hospital Universitário Clementino Fraga Filho Brazil

AIM: To evaluated the therapeutic and prophylactic effect of thalidomide on 2, 4, 6-trinitrobenzene sulfonic acid (TNBS)-induced colitis. Thalidomide has been reported to downregulate the expression of tumor necrosis factor a (TNF-α), IL-12, and vascular endothelial growth factor (VEGF), hallmarks of intestinal inflammation in Crohn's disease (CD). METHODS: Male Wistar rats were divided in five groups of ten animals each. Four groups received a rectal infusion of TNBS in ethanol. The first group was sacrificed 7 d after colitis induction. The second and third groups received either thalidomide or placebo by gavage and were sacrificed at 14 d. The fourth group received thalidomide 6 h before TNBS administration, and was sacrificed 7 d after induction. The fifth group acted as the control group and colitis was not induced. Histological inflammatory scores of the colon were performed and lamina propria CD4+ T cells, macrophages, and VEGF+ cells were detected by immunohistochemistry. TNF-a and IL-12 were quantified in the supernatant of organ cultures by ELISA. RESULTS: Significant reduction in the inflammatory score and in the percentage of VEGF+ cells was observed in the group treated with thalidomide compared with animals not treated with thalidomide. Both TNF-αand IL-12 levels were significantly reduced among TNBS induced colitis animals treated with thalidomide compared with animals that did not receive thalidomide. TNF-αlevels were also significantly reduced among the animals receiving thalidomide prophylaxis compared with untreated animals with TNBS-induced colitis. Intestinal levels of TNF-αand IL-12 were significantly correlated with the inflammatory score and the number of VEGF+ cells. CONCLUSION: Thalidomide significantly attenuates TNBS-induced colitis by inhibiting the intestinal production of TNF-α, IL-12, and VEGF. This effect may support the use of thalidomide as an alternate approach in selected patients with CD.

关键词： TNBS诱发大肠炎治疗用药预防用药沙立度胺 thalidomide TNF-α IL-12 VEGF 协同效应

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