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Co.binatio. therapy fo. male erectile dysfunctio. and urinary inco.tinence

Asian Jo.rnal o. Andro.o.y 2008年第1期10卷 149-154页

作者： Helen Zafirakis Run Wang o. lenaine westney Divisio. o. Uro.o.y University of Texas Health Science Center at Houston Houston TX 77030 USA Department o. Uro.o.y MD Anderson Cancer Center Houston TX 77030 USA

Urinary inco.tinence （UI） and erectile dysfunctio. （ED） are bo.h very prevalent co.ditio.s. Insertio. o. an artificial urinary sphincter （AUS） and penile pro.thesis （PP） is an effective and pro.en metho. o. treatment fo. bo.h co.ditio.s. With advancing age, as well as with increasing po.ulatio.s o. patients radically treated fo. pro.tate cancer, the o.currence o. bo.h co.ditio.s fo.nd in the same patient is increasing. The purpo.e o. this article was to.analyze the available evidence fo. simultaneo.s surgical management o. male ED and UI using pro.thetic devices. The existing literature pertaining to.dual implantatio. o. AUS and PP was reviewed. The co.co.itant insertio. o. the PP with the male perineal sling was also.co.sidered. Co.current ED and UI are increasingly seen in the po.t radical pro.tatecto.y po.ulatio., who.are o.ten yo.nger and less willing to.suffer with these co.ditio.s. Insertio. o. an AUS and PP, either simultaneo.sly o. as a two.stage pro.edure, appears to.be a safe, efficacio.s and lo.g-lasting metho. o. treatment. The impro.ements in design o. bo.h the AUS and PP as well as the develo.ment o. the single transverse scro.al incisio. have made simultaneo.s insertio. o. these pro.theses po.sible. Dual implantatio. o. the PP and male sling lo.ks pro.ising in a selected po.ulatio.. In co.clusio., the insertio. o. the AUS and PP fo. the treatment o. co.current UI and ED is safe and effective. Simultaneo.s insertio. o. these pro.theses in the same patient o.fers po.ential advantages in o.erative and reco.ery time and is asso.iated with high patient satisfactio.. Co.binatio. therapy sho.ld therefo.e be included in the arsenal o. treatment o. these co.ditio.s.

关键词： urinary inco.tinence erectile dysfunctio. impo.ence penile pro.thesis artificial urinary sphincter male sling

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Insights o. priapism mechanism and ratio.ale treatment fo. recurrent priapism

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Asian Jo.rnal o. Andro.o.y 2008年第1期10卷 88-101页

作者： Jiuho.g Yuan Ro.ena DeSo.za o. lenaine westney Run Wang Departments o. Uro.o.y University of Texas Health Science Center and MD Anderson Cancer Center Houston TX 77030 USA

Priapism is defined as abno.mal pro.o.ged penile erectio. o.curring beyo.d o. unrelated to.sexual interest. The diso.der is enigmatic yet devastating because o. its elusive etio.o.y, irreversible erectile tissue damage, and resultant erectile dysfunctio. （ED）. Current management strategies suffer fro. a po.r understanding o. the patho.hysio.o.y, especially at the mo.ecular level. The traditio.al treatments are based mo.e o. empirical rather than evidence-based kno.ledge. The o.tco.es fo. resto.atio. o. no.mal erectile functio. are po.r, especially fo. stuttering priapism. Therefo.e, it is critical to.understand priapism fro. a mo.ecular level, to.fo.mulate treatment strategies and to.establish ratio.al preventio. strategies fo. high-risk po.ulatio.s, such as sickle cell disease （SCD） patients and cases o. the stuttering variant. This review fo.uses o. the recent advances at the mo.ecular level in priapism and penile erectio., and applies the recent kno.ledge to.the treatment o. stuttering priapism.

关键词： priapism stuttering priapism mo.ecular mechanism treatment

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Three-Dimensio.al Structural Co.pariso. o. Mandibular Functio.al Units in Adult Patients with Different Sagittal Skeletal Patterns：A Co.e-beam Co.puted To.o.raphy Study Based o. the Functio.al Matrix Theo.y

Three-Dimensional Structural Comparison of Mandibular Functi...

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作者： BARAA M. o. DARAQEL 重庆医科大学

学位级别：硕士

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Temperature Trends and Accumulatio. o. Chill Ho.rs, Chill Units, and Chill Po.tio.s in So.th Caro.ina

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Atmo.pheric and Climate Sciences 2024年第2期14卷 173-190页

作者： Jo.é o. Payero Edisto.Research and Educatio. Center Clemson University Blackville SC USA Department o. Agricultural Sciences Clemson University Clemson SC USA

There is co.siderable co.cern abo.t the po.ential impact o. climate change o. agriculture, such as the accumulatio. o. chilling ho.rs needed to.break the do.mancy o. many perennial plants, like fruit trees. Therefo.e, this study aimed to.determine if there had been a significant change in air temperatures and chill ho.rs, chill units, and chill po.tio. accumulatio. in So.th Caro.ina o.er the last two.decades. Two.decades o. daily maximum (Tmax) and minimum (Tmin) air temperature reco.ds were o.tained fro. weather statio.s in thirty-o.e co.nties in So.th Caro.ina. Ho.rly temperature data, reco.structed fro. the daily data, were used to.calculate the daily and annual chill ho.rs, chill units, and chill po.tio.s accumulatio. using fo.r different chill mo.els fo. each lo.atio. and year. The chill mo.els included the T(t) °C mo.el, the 0°C °C mo.el, the Utah mo.el, and the Dynamic mo.el. Fo. each co.nty, regressio. analyses were co.ducted to.evaluate the histo.ical trends. Despite year-to.year variability, the tendency was a statistically significant (α = 0.05) increase in air temperature, averaging 0.089°C per year fo. 20 o.t o. 31 co.nties in So.th Caro.ina. The o.her 11 co.nties had no.significant change in temperature. The average temperature increase in the 31 co.nties was 0.072°C per year. The temperature increase resulted in a decrease in annual chill accumulatio. during the fall to.spring, averaging 17.7 chill ho.rs, 8.6 chill ho.rs, 17.0 chill units, and 0.40 chill po.tio.s per year calculated with the T(t) °C, 0°C °C, Utah, and Dynamic mo.els, respectively. Ho.ever, whether this decrease in chill values was statistically significant o. no. depended o. the chill mo.el used. This study did no. investigate the cause o. the o.served histo.ical trends in temperature and chill accumulatio.. Still, if the trends co.tinue, they co.ld significantly impact the future o. the temperate fruit tree industry in the state.

关键词： Chill Ho.rs Chill Units Chill Po.tio.s Temperature Fruit Trees Climate Change Do.mancy

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A Pro.edure fo. Trisecting an Acute Angle (Metho. 2)

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Advances in Pure Mathematics 2024年第4期14卷 204-213页

作者： Lyndo. o. Barto. Department o. Math and Physics Delaware State University Dover USA

This paper presents an alternate graphical pro.edure (Metho. 2), to.that presented in earlier publicatio.s entitled, “A Pro.edure fo. Trisecting an Acute Angle” and “A Key to.So.ving the Angle Trisectio. Pro.lem”. The pro.edure, when applied to.the 30˚ and 60˚ angles that have been “pro.en” to.be no.trisectable and the 45˚ benchmark angle that is kno.n to.be trisectable, in each case pro.uced a co.structio. having an identical angular relatio.ship with Archimedes’ Co.structio., as in Sectio. 2 o. THEo.Y o. this paper, where the required trisectio. angle was fo.nd to.be o.e-third o. its respective angle (i.e. DE’MA = 1/3 DE’CG). Fo. example, the trisectio. angle fo. the 30˚, 45˚ and 60˚ angles were 10.00000˚, 15.00000˚, and 20.00000˚, respectively, and Sectio. 5 o. PRo.F in this paper. Therefo.e, based o. this identical angular relatio.ship and the numerical results (i.e. to.five decimal places), which represent the highest degree o. accuracy and precisio. attainable by The Geo.eter’s Sketch Pad so.tware, o.e can o.ly co.clude that no. o.ly the geo.etric requirements fo. arriving at an exact trisectio. o. the 30˚ and 60˚ angle (which have been “pro.en” to.be no.-trisectable) have been met, but also. the co.structio. is valid fo. any arbitrary acute angle, despite theo.etical pro.fs to.the co.trary by Wantzel, Dudley, and o.hers.

关键词： Archimedes’ Co.structio. Co.lege Geo.etry Co.lege Mathematics Angle Trisectio. Famo.s Pro.lems in Mathematics Mechanism Analysis Geo.eter’s Sketch Pad

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A Review: Manufacturing, and Pro.erties o. the D-Fructo.e Epimer D-Allulo.e (D-Psico.e)

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Advances in Bio.cience and Bio.echno.o.y 2024年第9期15卷 522-542页

作者： o.ama o. Ibrahim Bio.nno.atio. LLC Gurnee IL USA

D-allulo.e, also.kno.n by the name D-psico.e o. just allulo.e, is a rare keto.sugar epimer o. D-fructo.e in the third carbo. (C3), and naturally o.curs in small quantity in fruits such as grapes and figs. It is lo. calo.ie sweetener pro.uced enzymatically fro. D-fructo.e by enzymes D-keto.e 3-epimerase (DKEase) family. D-allulo.e has a similar taste, texture and functio.ality as sweetener co.paring to.high calo.ie sweetener sugar table sucro.e. D-allulo.e is po.rly metabo.ized in the bo.y with minimal impact o. blo.d sugar levels making it a natural lo.-calo.ie sweetener. This pro.erty makes D-allulo.e an attractive sweetener fo. diabetes and fo. bo.y weight management. Labo.ato.y studies o. D-allulo.e intake demo.strated its safety with no.significant adverse effects. United States Fo.d and Drug Administratio. (FDA) has granted D-allulo.e the status o. Generally Reco.nized as Safe (GRAS). Plus, it is co.sidered safe fo. human co.sumptio. by regulato.y o.ganizatio.s in o.her co.ntries except in Euro.ean Unio. due to.their request fo. further labo.ato.y testing. Maximum acceptable daily intake o. D-allulo.e is 0.9 grams per kilo.ram bo.y weight. Excessive intake fo. mo.e than the reco.mended daily intake co.ld lead to.so.e side effects such as gastro.ntestinal disco.fo.t o. laxative effects. In general, D-allulo.e is co.sidered o.e o. the preferred natural lo. calo.ies sweeteners fo. tho.e seeking an alternative to.table sugar sucro.e.

关键词： D-Allulo.e D-Keto.e 3-Epimerase (DKEase) D-Tagato.e 3-Epimerase (DTEase) D-Allulo.e 3-Epimerase (DAEase) D-Psico.e 3-Epimerase (DPEase)

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Simultaneo.s penile pro.thesis and male sling/artificia urinary sphincter

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Asian Jo.rnal o. Andro.o.y 2013年第1期15卷 10-15页

作者： Do.inic Lee Claudio.Ro.ero.Frances Alba o.lenaine westney Run Wang Department o. Uro.o.y University of Texas MD Anderson Cancer Center Houston TX 77030 USA and Divisio. o. Uro.o.y University of Texas Medical School at Houston Houston TX 77030 USA

Erectile dysfunctio. （ED） and stress urinary inco.tinence （SUI） fro. urethral sphincteric deficiency is no. an unco.mo. pro.lem. The co.mo.est etio.o.y is interventio. fo. lo.alized pro.tate cancer and/o. radical cysto.ro.tatecto.y fo. muscle invasive bladder cancer. Despite advances in surgical techno.o.y with ro.o.ic assisted laparo.co.ic pro.tatecto.y and nerve sparing techniques, the rates o. ED and SUI remain relatively unchanged. They bo.h impact greatly o. quality o. life do.ains and have been asso.iated with po.r perfo.mance o.tco.es. Bo.h the artificial urinary sphincter and penile pro.thesis are go.d standard treatments with pro.en efficacy, satisfactio. and durability fo. end-stage SUI and ED respectively. Simultaneo.s pro.thesis implantatio. fo. co.current co.ditio.s has been well described, mo.tly in small retro.pective series. The uptake o. co.binatio. surgery has been slo. due in part to.technical demands o. the surgery and to.an extent, a heightened anxiety o.er po.ential co.plicatio.s. This paper aims to.discuss the technical aspect o. co.current surgery fo. bo.h disease entity and the current published o.tco.es o. the vario.s surgical techniques with this appro.ch.

关键词： artificial urinary sphincter dual implants erectile dysfunctio. penile pro.thesis stress urinary inco.tinence

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Climate Trends and Their Impact o. So.ghum Pro.uctio. in Marigat, Baringo.Co.nty: A Histo.ical Analysis

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o.en Jo.rnal o. Mo.ern Hydro.o.y 2024年第2期14卷 106-129页

作者： Kennedy o. o.uku Japheth o. o.yando.Ro.ulus o. o.wany Clement K. Kiptum Department o. Agricultural Engineering Egerton University Nakuru Kenya Scho.l o. Engineering University of Eldoret Eldoret Kenya

Climate is subject to.fluctuatio.s in the majo.ity o. the wo.ld, mainly caused by rainfall as well as temperature variatio.s. Climate fluctuatio.s in Kenya have resulted in the spread o. desert-like co.ditio.s in the ASALs regio., such as Marigat in Baringo.Co.nty. As a co.nty, Baringo.experiences great variatio.s in climate annually, as well as uncertainty in expected rains, thereby negatively impacting the pro.uctio. o. cro.s such as so.ghum. This study applied the rainfall ano.aly index (RAI), standardised precipitatio. evapo.ranspiratio. index (SPEI), standard precipitatio. index (SPI), and Mann-Kendall (MK) statistical test fo. trends o. histo.ical climatic data in analysing bo.h temperature and precipitatio. data o.er the perio. 1990 to.2022 to.determine their trend, patterns and ho. they affect the pro.uctio. o. so.ghum cro.s. The machine learning metho. (R studio. with inputs was used to.calculate the SPI, SPEI, RAI and MK trend test. The rainfall varied fro. belo. average to.abo.e average during the study perio. with no.clear pattern in the RAI, SPEI and SPI values. The years 2020 and 2000 sto.d o.t as they had higher and lo.er rainfall than usual, respectively. The Marigat area generally experienced mo.e rainfall during the high/lo.g rainfall seaso. (AMJJ). The MK trend test o. average mo.thly rainfall, So.D, AMJJ, and annual precipitatio. co.firmed a po.itive trend in precipitatio.. Ho.ever, the sho.t rainy seaso. (So.D) was fo.nd to.be the mo.t variable perio. fo. rainfall, and there was a slight increase in daily average temperatures during this seaso..

关键词： Trends Precipitatio. Temperature RAI SPI SPEI and MK

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Co.genital Meso.lastic Nephro.a: A Case Repo.t

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o.en Jo.rnal o. Pediatrics 2024年第5期14卷 834-840页

作者： E. A. Alinno. o. C. Ugwa I. o. Nnamani Department o. Paediatrics University of Port Harcourt Teaching Hospital Port Harcourt Nigeria Department o. Anato.ical Patho.o.y University of Port Harcourt Teaching Hospital Port Harcourt Nigeria

Backgro.nd: Co.genital Meso.lastic Nephro.a (CMN) is a mesenchymal renal tumo.r o. early life. With a median diagno.is o. two.mo.ths and o.er 90% o. cases o.curring within the first year o. life, it is the mo.t prevalent no.-Wilms’ renal tumo.r. Even tho.gh imaging can be used as a diagno.ing to.l, it is frequently identified in the neo.atal perio. when the baby has an abdo.inal mass. There are three different histo.o.ic types: mixed, cellular, and classic. Radical nephrecto.y is the usual mo.e o. treatment, tho.gh adjuvant chemo.herapy may be necessary fo. the cellular type, which may be aggressive. Case presentatio.: We repo.t o. a case o. a 2-day-o.d term male neo.ate bo.n to.a 27-year-o.d mo.her thro.gh spo.taneo.s vertex delivery (SVD). He presented with a right-sided abdo.inal mass fro. birth. An abdo.inal ultraso.nd scan revealed a huge, well-circumscribed hetero.eneo.s so.t tissue mass in the right hemi-abdo.en extending to.the left side, measuring 10.2 cm by 8.0 cm. He underwent a right radical nephrecto.y with a tumo.r weight o. 450 g and a size o. 18 cm × 15 cm × 6 cm. Histo.atho.o.ical diagno.is was Co.genital Meso.lastic Nephro.a (cellular type) Stage 1. Co.clusio.: Any infant with a renal tumo.r sho.ld be evaluated fo. co.genital meso.lastic nephro.a. Detailed investigatio. and co.plete resectio. are fundamental fo. ensuring an excellent o.tco.e.

关键词： Co.genital Meso.lastic Nephro.a Nephrecto.y Neo.ate

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Abso.ute Wall Thickness Measurement o. Co.ducting Plates Using Pulsed Eddy Currents

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Jo.rnal o. Electro.agnetic Analysis and Applicatio.s 2024年第3期16卷 25-41页

作者： Victo.-o. de Haan Riccardo.Sco.tini Bo.Physics Research and Investigatio.s BV Puttershoek Netherlands

The metho. using pulsed eddy currents to.determine the thickness o. a co.ductio. plate is extended to.enable the simultaneo.s measurement o. the plate thickness and material pro.erties. Fo. o.timal perfo.mance, a pro.e must be designed depending o. the thickness range that sho.ld be accessible. The need fo. a calibratio. o. the material pro.erties o. a co.ducting plate to.enable the measurement o. its thickness has been remo.ed. All that is needed is a pro.e with kno.n dimensio.s and suitable hardware to.create a current pulse and measure a transient magnetic inductio..

关键词： Pulsed Eddy Currents Wall Thickness Abso.ute and Relative Measurements

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