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Our experience with management of congenital urological pathologies in adulthood:What pediatric urologists should know and adult urologists adopt in pediatric practice experience

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Current Urology 2024年第1期18卷 7-11页

作者： Leon Chertin binyamin b.neeman Jawdat Jaber Guy Verhovsky Amnon Zisman Ariel Mamber Ilan Kafka Ala Eddin Natsheh Dmitry Koulikov Ofer Z.Shenfeld boris Chertin Stanislav Koucherov Amos Neheman Department of Urology Shamir Medical CenterZerifinIsrael(Affiliated with the Sackler School of MedicineTel-Aviv UniversityTel-AvivIsrael) Department of Pediatric Urology Shaare Zedek Medical CenterJerusalemIsrael(Affiliated with the Faculty of MedicineThe Hebrew UniversityJerusalemIsrael)

Purpose:To summarize our experience in the management of congenital anomalies in the kidney and urinary tract(CAKUT)in *** and methods:We conducted a retrospective chart review of all adult patients who underwent primary surgical intervention for CAKUT between 1998 and ***:The study included 102 patients with a median age of 25(interquartile range,23-36.5).Of these,85(83.3%)patients reported normal prenatal ultrasound,and the remaining 17(16.7%)patients were diagnosed with antenatal *** patients were followed-up conservatively postnatally and were discharged from follow-up because of the absence of indications for surgical intervention or because they decided to leave medical *** studied adult patients presented with the following pathologies:67 ureteropelvic junction obstructions,14 ectopic ureters,9 ureteroceles,and 6 primary obstructive megaureters,and the remaining 6 patients were diagnosed with vesicoureteral ***-three percent of the patients had poorly functioning moieties associated with ectopic ureters or ***,67%of patients underwent pyeloplasty,9%underwent endoscopic puncture of ureterocele,3%underwent ureteral reimplantation,6%underwent endoscopic correction of reflux,7%underwent partial nephrectomy of non-functioning moiety,and the remaining 9%underwent robotic-assisted laparoscopic *** median follow-up period after surgery was 33 months(interquartile range,12-54).Post-operative complications occurred in 5 patients(Clavien-Dindo 1-2).Conclusions:Patients with CAKUT present clinical symptoms later in *** of patients diagnosed during fetal screening and treated conservatively should be aware of this possibility,and children should be appropriately counseled when they enter *** surgical skills and operative techniques used in the pediatric population may be applied to adults.

关键词： Antenatal diagnosis Congenital anomalies Adults Minimal invasive surgery

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Validation of Spectral and broadband UV-b (290 - 325 nm) Irradiance for Canada

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Atmospheric and Climate Sciences 2011年第3期1卷 69-85页

作者： Jacqueline binyamin John Davies bruce McArthur 不详

Stratospheric ozone depletion, as a result of increasing chlorofluorocarbons in the stratosphere, allows more UV-b irradiance (290 - 325 nm) to reach the earth’s surface with possible detrimental biological effects. be-cause there are few UV-b radiation stations, irradiance models are useful tools for estimating irradiances where measurements are not made. Estimates of spectral and broadband irradiances from a numerical model are compared with brewer spectrophotometer measurements at nine Canadian stations (Alert, Resolute bay, Churchill, Edmonton, Regina, Winnipeg, Montreal, Halifax and Toronto) and 26 years of data. The model uses either the discrete ordinate radiative transfer (DISORT) or the delta-Eddington algorithms to solve the radiative transfer equation for a 49-layer, vertically inhomogeneous, plane-parallel atmosphere, with cloud inserted between the 2 and 3 km heights. Spectral calculations are made at 1 nm intervals. The model uses extraterrestrial spectral irradiance, spectral optical properties for each atmospheric layer for ozone, air mole-cules, and aerosol and surface albedo. A fixed broadband cloud optical depth of 27 was satisfactory for cal-culating cloudy sky irradiances at all stations except in the arctic. Comparisons are made both for daily totals and for monthly averaged spectral and broadband irradiances. The delta-Eddington method is shown to be unsuitable for calculating spectral irradiances under clear skies, at wavelengths less than 305 nm where absorption by ozone is high, and at large solar zenith angles. The er-rors are smaller for overcast conditions. The method is adequate for daily total and monthly averaged spec-tral (? 305 nm) and broadband calculations for all sky conditions, although consistently overestimating ir-radiances. There is a good agreement between broadband measurements and calculations for both daily totals and monthly averages with mean bias error mainly less than 5% of the mean measured daily irradiance and root

关键词： Modelling UV-b Radiation DISORT Delta-Eddington Spectral and broadband Radiation brewer Spectrophotometer UV-b Measurements in Canada

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Comparison of UV-b broadband brewer Measurements with Irradiances from Surface-based and Satellite-based Models

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Atmospheric and Climate Sciences 2011年第3期1卷 142-146页

作者： Jacqueline binyamin John Davies bruce McArthur 不详

UV-b irradiance can be estimated from surface meteorological data or from satellite measurements. This paper compares irradiance estimates from the Davies surface-based radiation model and the Canada Centre for Remote Sensing (CCRS) satellite model with brewer spectrophotometer measurements for all sky conditions at six Canadian stations (Edmonton, Regina, Winnipeg, Montreal, Halifax and Toronto). The Davies model is applied with both the discrete ordinate radiative transfer (DISORT) and the delta-Eddington algorithms to solve the radiative transfer equation. both models’ estimates are compared with instantaneous brewer measurements. both perform similarly with mean bias errors within 6% of the mean measured irradiance for the measurement period and root mean square errors between 25% and 30%.

关键词： Keywords

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