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Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

Asian Journal of Andrology 2017年第3期19卷 321-325页

作者： Javier Romero Otero Cesar Rojas Cruz Borja Garcia Gomez joaquim sarquella geli lose Medina Polo Eduard Ruiz Castane Alfredo Rodriguez Antolin 12 de Octubre University Hospital Department of Urology Madrid Spain Fundacio Puigvert Department of Andrology Barcelona Spain.

Most widespread three-component penile prosthesis models are 700CXTM and Titan~. Our purpose is to assess patient and partner satisfaction after the first implant. This is a multicenter, retrospective, nonrandomized study in which all patients who met the inclusion criteria between 2009 and 2013 were included. In total, 248 patients agreed to participate. To evaluate patient satisfaction, a validated but modified 11-question questionnaire was completed （EDITS）; and a nonvalidated two-item questionnaire was given to the partner. Statistical analysis used an ordinal logistic regression model. Two hundred and forty-eight patients （194 with 700CXTM vs 54 with Titan） and 207 couples completed the questionnaire （165 with 700CXTM vs 42 with Titan）. Overall satisfaction was high. Both showed great reliability for sexual intercourse and high compliance with prior expectations. Most patients were able to manage the penile prosthesis correctly within 6 months. Postoperative penile shortening led to some dissatisfaction in 42% and 46% of cases （700CX/Titan）. Significant differences were found in three questions of patients＇ questionnaire. There were more patients satisfied with the 700CXTM （P= 0.0001）. No patient with Titan implant took longer than 6 months to optimal management. Only 4% of patients with 700CXTM implant were dissatisfied with the deflation, in contrast to 24% with the Titan （P = 0.0031）. Of the two partners＇ questions, one showed a statistically significant difference （P = 0.0026）. It seems that group 700CX＂ would recommend to re-implant the prosthesis with a greater tendency. The overall satisfaction was very high for both prostheses. The final aspect of the erected and flaccid penis was satisfactory, but both groups showed significant discontent with its final size. Partners＇ overall satisfaction was high.

关键词： erectile dysfunction penile implantation penile prosthesis

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Ten-year experience with penile prosthetic surgery for the treatment of erectile dysfunction:outcomes of a tertiary referral center and predictors of early prosthetic infection

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Asian Journal of Andrology 2022年第1期24卷 32-39页

作者： Franco Palmisano Luca Boeri Riccardo Ievoli Josvany Sánchez-Curbelo Matteo Giulio Spinelli Andrea Gregori Antonio Maria Granata Eduard Ruiz-Castane Emanuele Montanari joaquim sarquella-geli ASST Fatebenefratelli-Sacco Department of UrologyLuigi Sacco University HospitalMilan 20157Italy IRCCS Foundation Ca’Granda Ospedale Maggiore Policlinico Department of UrologyUniversity of MilanMilan 20122Italy Department of Economics and Management University of FerraraFerrara 44121Italy FundacióPuigvert Department of AndrologyUniversity of BarcelonaBarcelona 08025Spain

We aimed to evaluate ten-year outcomes of penile prosthesis(PP)implantation for the treatment of erectile dysfunction and to assess predictors of early prosthetic infection(EPI).We identified 549 men who underwent 576 PP placements between 2008 and *** and multivariate analyses were used to identify potential predictors of *** EPI predictive nomogram was ***-five(6.1%)cases of EPI were recorded with an explant rate of 3.1%.In terms of satisfaction,82.0%of the patients defined themselves as“satisfied,”while partner’s satisfaction was 88.3%.Diabetes(P=0.012),longer operative time(P=0.032),and reinterventions(P=0.048)were associated with EPI risk,while postoperative ciprofloxacin was inversely associated with EPI(P=0.014).Rifampin/gentamicin-coated 3-piece inflatable PP(r/g-c 3IPP)showed a higher EPI risk(P=0.019).Multivariate analyses showed a two-fold higher risk of EPI in diabetic patients,redo surgeries,or when a r/g-c 3IPP was used(all P<0.03).We showed that diabetes,longer operative time,and secondary surgeries were the risk factors for *** ciprofloxacin was associated with a reduced risk of EPI,while r/g-c 3IPP had higher EPI rates without an increased risk of PP *** further validation,the proposed nomogram could be a useful tool for the preoperative counseling of PP implantation.

关键词： Boston Coloplast Titan three-piece penile prosthesis erectile dysfunction impotence Inhibizone patient satisfaction penile prosthesis prosthesis infection rifampin soaking

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Social determinants of gastrointestinal malformation mortality in Brazil:a national study

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World Journal of Pediatric Surgery 2024年第2期7卷 134-141页

作者： Ayla Gerk Amanda Rosendo Luiza Telles Aricia Gomes Miranda Madeleine Carroll Bruna Oliveira Trindade Sarah Bueno Motter Esther Freire Gabriella Hyman Julia Ferreira Fabio Botelho Roseanne Ferreira David P Mooney joaquim Bustorff-Silva Program in Global Surgery and Social Change Harvard Medical SchoolBostonMassachusettsUSA Faculty of Medicine and Health Sciences McGill UniversityMontrealQuebecCanada Harvey E.Beardmore Division of Pediatric Surgery The Montreal Children's HospitalMcGill University Health CentreMontrealQuebecCanada Department of Surgery Universidade Estadual de Campinas(UNICAMP)CampinasBrazil Instituto de Educação Médica(IDOMED/Estácio Campus Vista Carioca)Rio de JaneiroBrazil Faculty of Medicine Universidade Federal do Delta do ParnaibaParnaibaPiauiBrazil Universidade Federal de Ciencias da Saude de Porto Alegre Porto AlegreBrazil Universidade Federal da Bahia SalvadorBrazil Department of Health Research Methods McMaster UniversityHamiltonSouthern OntarioCanada Department of Pediatric Surgery Boston Children's HospitalBostonMassachusettsUSA

Introduction In Brazil,approximately 5%are born with a congenital disorder,potentially fatal without *** study aims to evaluate the relationship between gastrointestinal congenital malformation(GICM)mortality,health indicators,and socioeconomic factors in *** GICM admissions(Q39-Q45)between 2012 and 2019 were collected using national *** demographics,socioeconomic factors,clinical management,outcomes,and the healthcare workforce density were also accounted *** Surgical Workforce density and the number of neonatal intensive care units in a region were extracted from national datasets and combined to create a clinical index termed'NeoSurg'.Socioeconomic variables were combined to create a socioeconomic index termed SocEcon'.Simple linear regression was used to investigate if the temporal changes of both indexes were *** correlation between mortality and the different indicators in Brazil was evaluated using Pearson's correlation *** Over 8 years,Brazil recorded 12804 GICM *** Southeast led with 6147 cases,followed by the Northeast(2660),South(1727),North(1427),and Midwest(843).The North and Northeast reported the highest mortality,lowest NeoSurg,and SocEcon Index ***,mortality rates declined across regions from 7.7%(2012)to 3.9%(2019),a 51.7%*** North and Midwest experienced the most substantial reductions,at 63%and 75%,*** significantly correlated with the indexes in nearly all regions(p<0.05).Conclusion Our study highlights the correlation between social determinants of health and GICM mortality in Brazil,using two novel indexes in the pediatric *** findings provide an opportunity to rethink and discuss new indicators that could enhance our understanding of our country and could lead to the development of necessary solutions to tackle existing challenges in Brazil and globally.

关键词： Northeast Brazil globally

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Transcranial Direct Current Stimulation: Effects on Motor and Non-Motor Symptoms of Parkinson’s Disease

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Journal of Behavioral and Brain Science 2024年第5期14卷 135-160页

作者： Fayda Protásio Carlos Alberto Bezerra Tomaz joaquim Brasil-Neto Pedro Brandão Nasser Allam Maria Clotilde Henriques Tavares Laboratory of Neuroscience and Behavior Department of Physiological Sciences Institute of Biology University of Braslia Braslia Brazil Master Program in Environment University CEUMA So Lus MA and Faculty of Medicine Euro-American University Center-UNIEURO Braslia Brazil Faculty of Medicine Euro-American University Center-UNIEURO Braslia Brazil NA Neurologistas Associados Braslia Brazil

Introduction: In the last thirty years, brain neuromodulation techniques have been used as an alternative to pharmacological treatment of neurological disorders. Parkinson’s disease (PD) is a neurodegenerative disorder leading to bradykinesia, rest tremor, postural changes, and non-motor symptoms such as depression, anxiety, sleep disorders, pain, and cognitive decline that compromises executive functions (EFs), responsible for the orderly execution of behaviors and tasks of daily life and intentional and directed actions. To this date, a few studies with transcranial direct current stimulation (tDCS) have shown beneficial effects in PD patients concerning specific motor and non-motor symptoms, targeting the motor cortex and/or prefrontal regions. Objective: The main objective of this study was to evaluate the effects of left prefrontal tDCS across a broad spectrum of motor and non-motor symptoms of PD using established validated scales. Method: Single-blind randomized clinical trial with 18 volunteers with PD, aged between 45 and 80 years (66.1 ± 9.65), who met inclusion and exclusion criteria. Participants were submitted to assessments of motor and non-motor functions employing psychometric scales and tests to evaluate EFs and were randomly divided into two groups: control (sham stimulation) and experimental (active stimulation). All participants were involved in three separate tDCS sessions. The anode was positioned over the left dorsolateral prefrontal cortex and the cathode over the right supraorbital region, with a direct current intensity of 2 mA, lasting 20 minutes. At the end of the three sessions, all participants were reassessed. Results: Significant effects of tDCS on non-motor functions were observed for cognition (verbal fluency of actions, clock copy test, appointment by visual confrontation, and verbal memory with immediate free recall) and subjective assessment of sleep quality (overall restlessness and discomfort in the arms and legs at night, leg

关键词： Parkinson’s Disease Neuromodulation Transcranial Direct Current Stimulation—tDCS Movement Disorders Mood Sleep Cognition

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在当前猪圆环病毒2型流行病学背景下重新审视猪圆环病毒病诊断标准

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国外畜牧学（猪与禽） 2024年第3期44卷 1-9页

作者：孟霞(译) 王祎汀(校) 夏俊花(复校) joaquim Segalés Marina Sibila 不详

目前,人们对猪圆环病毒2型(porcine circovirus 2,PCV2)引起的猪圆环病毒病(porcine circovirus diseases,PCVDs)的认识是,该病包括PCV2的亚临床感染(porcine circovirus 2 subclinical infection,PCV2-SI)、全身性疾病(PCV2 systemic diseases,PCV2-SD)和繁殖障碍(PCV2 reproductive diseases,PCV2-RD)以及猪皮炎肾病综合征(porcine dermatitis and nephropathy syndrome,PDNS)。多年来,确诊这些疾病的诊断标准没有变,因此,由临床症状、病变和病变组织中病毒的检测组成的三要素仍然是PCV2-SD和PCV2-RD确诊的标志。相比之下,正常情况下不对PCV2-SI进行诊断,因为这种疾病被默认通过接种疫苗就能得到控制。PDNS可以通过大体病变和组织病理学检查进行诊断,检测PCV2被认为不是该病的诊断标准。在过去十年中,分子生物学方法作为PCVDs诊断的替代方法已得到广泛使用,不过这些技术被视为监测工具,而不是诊断工具。多年来,PCV2的流行病学发生了很大的变化,由于大规模接种疫苗,猪群的感染压下降,猪群的整体免疫力降低。因此,近来来对PCVDs诊断的需求有所增加,尤其是接种疫苗后仍出现PCV2-SD症状的病例。本综述的目的是更新有关PCVDs诊断标准,并在PCV2感染的不同流行病学情况下,将分子生物学方法应用于这些疾病的整体诊断中。

关键词：猪圆环病毒2型猪圆环病毒病临床症状病理学诊断流行病学

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An alternative practical design method for structures with viscoelastic dampers

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Earthquake Engineering and Engineering Vibration 2018年第3期17卷 459-473页

作者： joaquim Mimusse Tchamo Zhou Ying State Key Laboratory of Disaster Reduction in Civil Engineering Tongji University

Viscoelastic dampers（VEDs） are one of the most common passive control devices used in new and retrofit building projects which reduce the structure responses and dissipate seismic energy during an *** methods to design this kind of dampers have been proposed based on the desired level of additional damping,eigenvalue assignment,modal strain energy,linear quadratic regulator control theories,and other *** the current engineering practice,the popular method is the one based on the modal strain energy that uses the inter-story lateral stiffness as one of the main variables for damper ***,depending on the configuration of the structure,in some cases the resulting interstory lateral stiffness can be very ***,the dampers size would also be large producing much more damping than that effectively necessary,resulting in an increase of the overall cost of the supplemental damping system and causing excessive stress on the structural elements connected to the *** this paper an alternative practical design method for structures with VEDs is *** method uses the inter-story shear forces as one of the main variables to accomplish the damper design compared to what was done in previous *** time-history analyses were conducted on a 7-story reinforced concrete（RC） structure to check the reliability and effectiveness of the proposed *** on the seismic performance between the structure without dampers and that equipped with VEDs were carried *** is concluded that the proposed method results in a very suitable size of dampers,which are able to improve the performance of the structure at all levels of earthquake ground motions and satisfying the drift requirement prescribed in the codes.

关键词： viscoelastic dampers passive control seismic design method inter-story shear forces earthquake engineering

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Iterated Inverse Images of Plane Curve Singularities

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Acta Mathematica Sinica,English Series 2011年第12期27卷 2319-2328页

作者： Eduardo CASAS-ALVERO joaquim ROE Departament d＇Algebra i Geometria Universitat de Barcelona Gran Via 585 08007 Barcelona Spain Departament de Matematiques Universitat Autonoma de Barcelona 08193 Bellaterra （Barcelona） Spain

We describe the evolution of certain multiplicities and intersection numbers of plane curve singularities under the iterated action of an analytic morphism.

关键词： Plane curve singularity analytic morphism dynamics of intersection

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Engineering nanoparticles for targeting rheumatoid arthritis： Past, present, and future trends

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Nano Research 2018年第9期11卷 4489-4506页

作者： Isabel Matos Oliveira Cristiana Goncalves Rui Lufs Reis joaquim Miguel Oliveira B's Research Group - Biomatefials Biodegradables and Biomimetics Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine AvePark 4805-017 Barco Guimaraes Portugal ICVS/3B's-PTGovernment Associate Laboratory University of Minho Campus de Gualtar 4710-057 Braga Portugal The Discoveries Centre for Regenerative and Precision Medicine Headquarters at University of Minho Avepark 4805-017 Barco Guimaraes Portugal

Rheumatoid arthritis （RA） is a chronic inflammatory disease characterized by synovial joint inflammation and cartilage and bone tissue destruction. Although there exist some treatment strategies for RA, they are not completely safe and effective. Therefore, it is important to develop and test new drugs for RA that specifically target inflamed/swollen joints and simultaneously attenuate other possible damages to healthy tissues. Nanotechnology can be a good alternative to consider when envisioning predse medication for treating RA. Through the use of nanopartides, it is possible to increase bioavailability and bioactivity of therapeutics and enable selective targeting to damaged joints. Herein, recent studies using nanoparticles for the treatment of RA, namely with liposomes, polymeric nanoparticles, dendrimers, and metallic nanoparticles, have been reviewed. These therapeutic strategies have shown great promise in improving the treatment over that by traditional drugs. The results of these studies confirm that feasibility of the use of nanopartides is mainly due to their biocompatibility, low toxicity, controlled release, and selective drug delivery to inflamed tissues in animal RA models. Therefore, it is possible to claim that nanotechnology will, in the near future, play a crucial role in advanced treatments and patient-specific therapies for human diseases such as RA.

关键词： nanoparticles liposomes dendrimers rheumatoid arthritis

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Fabrication of cost-effective, highly reproducible large area arrays of nanotriangular pillars for surface enhanced Raman scattering substrates

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Nano Research 2016年第10期9卷 3075-3083页

作者： Kudilatt Hasna Aldrin Antony joaquim Puigdollers Kumaran Rajeev Kumar Madambi Kunjukuttan Jayaraj Nanophotonic & Optoelectronic Devices Laboratory Department of Physics Cochin University of Science & Technology Kochi 682 022 India Department of Instrumentation Cochin University of Science & Technology Kochi 682 022 India Department of Energy Science and Engineering Indian Institute of Technology Bombay Maharashtra 400 076 India Department of Enginyeria Electronica Universitat Politecnica Catalunya C/Jordi Girona 31 Modul C4 Barcelona 08034 Spain

Development of cost-effective, highly reproducible non-conventional fabrication techniques for anisotropic metal nanostructures is essential to realizing potential applications of plasmonic devices, photonic devices, and surface enhanced Raman scattering （SERS） phenomenon based sensors. This report highlights the fabrication of nanotriangle arrays via nanoimprinting to overcome difficulties in creating large-area SERS active substrates with uniform, reproducible Raman signals. Electron beam lithography of anisotropic nanostructures, formation of arrays of nanotriangles in silicon and the transfer of triangular shapes to polymethylmethacrylate （PMMA） sheets via nanoimprinting have not been reported elsewhere. The reuse of silicon masters offers potential for production of low cost SERS substrates. The SERS activity and reproducibility of nanotriangles are illustrated and a consistent average enhancement factor of up to -2.9 × 1011, which is the highest value reported for a patterned SERS substrate, is achieved.

关键词： metal nanostructures localized surface plasmon resonance (LSPR) surface enhanced Ramanscattering (SERS) substrate enhancement factor

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Updating of the hierarchical rock mass rating(HRMR) system and a new subsystem developed for weathered granite formations

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International Journal of Mining Science and Technology 2014年第6期24卷 769-775页

作者： Miranda Tiago e Sousa L.Ribeiro Tinoco joaquim ISISE University of Minho Guimar?es 4800-058 Portugal State Key Laboratory of Geomechanics and Deep Underground Engineering China University of Mining & Technology University of Porto Porto 4200 Portugal

The RMR system is still very much applied in rock mechanics engineering context. It is based on the evaluation of six weights to obtain a final rating. To obtain the final rating a considerable amount of information is needed concerning the rock mass which can be difficult to obtain in some projects or project stages at least with accuracy. In 2007 an alternative classification scheme based on the RMR, the Hierarchical Rock Mass Rating(HRMR) was presented. The main feature of this system was the adaptation to the level of knowledge existent about the rock mass to obtain the classification of the rock mass since it followed a decision tree approach. However, the HRMR was only valid for hard rock granites with low fracturing degrees. In this work, the database was enlarged with approximately 40% more cases considering other types of granite rock masses including weathered granites and based on this increased database the system was updated. Granite formations existent in the north of Portugal including Porto city are predominantly granites. Some years ago a light rail infrastructure was built in the city of Porto and surrounding municipalities which involved considerable challenges due to the high heterogeneity levels of the granite formations and the difficulties involved in their geomechanical characterization. In this work it is intended to provide also a contribution to improve the characterization of these formations with special emphasis to the weathered horizons. A specific subsystem applicable to the weathered formations was developed. The results of the validation of these systems are presented and show acceptable performances in identifying the correct class using less information than with the RMR system.

关键词： Rock mass classification system Decision tree Weathered granite formations

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