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Outcomes of surrounding pollution upon the child years asthma exacerbation in the Philly metropolitan Location, 2011-2014.
The self-retaining, vaginal Magrina-Bookwalter retractor is a helpful tool to optimize the visualization and workspace while reducing the need for handheld retractors during vaginal procedures deeper into the pelvis.
The use of new lightweight meshes in pelvic organ prolapse (POP) surgery may reduce complications related to mesh retraction (chronic pain, dyspareunia, and mesh exposure). The aim of this study was to investigate changes in the area and position of Uphold Lite™ mesh 6weeks and 12months after anterior and/or apical prolapse repair.

This observational prospective multicenter study included patients who had undergone transvaginal surgery for symptomatic POP-Q stage ≥ II anterior and/or apical compartment prolapse with placement of Uphold Lite mesh. The dimensions and position of the mesh were evaluated at 6weeks and 12months by ultrasonography. Correlations between ultrasonographic mesh characteristics and POP recurrence were analyzed.

Fifty evaluable women with an average age of 66.8years were included. No statistically significant difference in mesh area was found between week 6 and month 12 postoperatively, either at rest (1746.92 vs. 1574.48mm
; p = 0.15) or on Valsalva (1568.81 vs. 1542.98mm
; p = 0.65). The ROC-AUC of the distance between the mesh and the bladder neck (M-BN) at 6weeks for predicting cystocele recurrence at 12months was 0.764 (95% CI 0.573-0.955) at rest and 0.724 (95% CI 0.533-0.916) on Valsalva. An M-BN distance > 12.5mm could predict cystocele recurrence at month 12 with a sensitivity of 80% and a specificity of 69%.

Ultrasonographic measurements of the Uphold Lite™ mesh appear to remain stable between 6weeks and 12months postoperatively. M-BN distance correlates with cystocele recurrence. These results appear to confirm the value of ultrasound in mesh evaluation.
Ultrasonographic measurements of the Uphold Lite™ mesh appear to remain stable between 6 weeks and 12 months postoperatively. M-BN distance correlates with cystocele recurrence. These results appear to confirm the value of ultrasound in mesh evaluation.
Voiding symptoms/dysfunctions (VS/Ds) after surgery for deep-infiltrating endometriosis (DIE) are frequent (20% of patients) and, together with bowel dysfunctions, may represent a de novo disorder due to surgical damage of the pelvic plexus or a worsening of pre-existent functional damage. Sacral neuromodulation (SNM) might improve voiding symptoms by treating dysfunctional voiding. The aim of this study is to report our experience with SNM in patients treated with surgery for DIE.

We retrospectively enrolled 13 patients with VS/Ds after surgery for DIE. All patients were investigated with urodynamic studies (UDS) and agreed to undergo SNM. Pre-existing VS/Ds, bowel disorders and pelvic pain, DIE surgical procedures, UDS and SNM test results were recorded.

After surgery for DIE, functional bladder outflow obstruction and detrusor acontractility were observed in nine and four patients, respectively. Chronic pelvic pain was present in seven cases. Twelve patients developed constipation, whilst one patientults for pelvic pain control and gastrointestinal disorders should not be underestimated.Amphibian life history traits are affected by temperature and precipitation. Yet, connecting these relationships to population growth, especially for multiple populations within a species, is lacking and precludes our understanding of amphibian population dynamics and distributions. Therefore, we constructed integral projection models for five populations along an elevational gradient to determine how climate and season affect population growth of a terrestrial salamander Plethodon montanus and the importance of demographic vital rates to population growth under varying climate scenarios. We found that population growth was typically higher at the highest elevation compared to the lower elevations, whereas varying inactive season conditions, represented by the late fall, winter and early spring, produced a greater variation in population growth than varying active season conditions (late spring, summer, and early fall). Furthermore, survival and growth were consistently more important, as measured by elasticity, compared to fecundity, and large females had the greatest elasticity compared to all other body sizes. Our results suggest that changing inactive season conditions, especially those that would affect the survival of large individuals, may have the greatest impact on population growth. We recommend future experimental studies focus on the inactive season to better elucidate the mechanisms by which these conditions can affect survival.Parasitism is arguably the most commonly occurring consumer strategy. However, only a few food web studies assess how well stable isotopes reflect the trophic position of parasitic consumers and results are variable. see more Even fewer studies have measured the nutrient transfer by parasitic consumers, hindering an assessment of their role in nutrient transfer through food webs. Here we used a food chain consisting of a diatom as host, a chytrid as its parasitic consumer and a rotifer as the predatory consumer of the chytrid, to assess the trophic position of all three food-chain components using their natural 13C and 15N isotope signatures, and to measure the nitrogen transfer from the host via the chytrid to the rotifer by tracing 15N of a labelled host up the food chain. Additionally, we measured the carbon to nitrogen (CN) ratios of all food-chain components. Natural isotope abundance results showed no clear 15N enrichment in the chytrid or rotifer relative to the primary producer. However, estimates of nitrogen transfer indicated that about 14% of host nitrogen was transferred per day from host to chytrid during infection epidemics and that some of this nitrogen was also transferred onward to the rotifer. Moreover, CN ratios decreased with trophic level, suggesting that the chytrid provided a high-quality food source to the rotifer. In conclusion, our results support the "mycoloop". The mycooloop proposes that chytrid infections allow the transfer of nutrients bound in large, inedible phytoplankton to zooplankton through the production of edible transmission spores, thereby rerouting nutrients back into the food web.
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