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91.
92.
OBJECTIVE: The influence of psychogenic factors on voiding generally manifests as an irritative syndrome and rarely in the form of acute or chronic urinary retention. The diagnosis and treatment of this uncommon urological pathology are reviewed and our experience is presented. METHODS: We conducted a retrospective study on 5 patients with psychogenic urinary retention (3 males and 2 females), aged 20 to 28 years (mean age 23.4), that had been treated at our urological services over the last 6 years. Three patients (2 males and 1 female) had a history of depression, one patient had a somatic form of disorder (mimicking) and one patient was diagnosed as having schizophrenia one year after he had presented with urinary retention. The physical and neurological examinations were normal in all 5 patients and the radiological evaluation was normal in all but one patient who had bilateral hydronephrosis. The pressure/flow test disclosed absence of detrusor muscle contraction in all 5 patients; 3 had incomplete voiding by abdominal pressure and had more than 500 ml residual urine. All patients received psychiatric therapy, and intermittent catheterization and urinary rehabilitation until residual urine less than 100 ml was achieved. CONCLUSIONS: The importance of the urodynamic study in the diagnosis of this condition is underscored. Definitive diagnosis can only be established after discarding other pathologies. The initial treatment must always be conservative; irreversible surgical procedures must not be performed. Treatment is by intermittent catheterization, urinary rehabilitation and supportive psychiatric therapy.  相似文献   
93.
Surface morphology development for SBM triblock copolymer thin films has been studied by atomic force microscopy. The effect of copolymer composition and solvent on the final morphology has been investigated. Obtained results indicated that depending on the block ratio (symmetric or asymmetric with minority middle block) and solvent, lamellar, hexagonal, cylindrical, or spheres in lamellae (ls)‐type morphologies can be achieved at film surfaces. The influence of the interaction parameters among blocks and solvents and cohesive energy values of block pairs on the final morphology has been proved. POLYM. ENG. SCI., 58:422–429, 2018. © 2017 Society of Plastics Engineers  相似文献   
94.
Contact angle studies of pure water droplets were carried out on thin diamond films. The films were deposited on a fresh Si 111 wafer by plasma assisted chemical vapour deposition (PACVD) and confirmed to be diamond by Raman spectroscopy and scanning electron microscopy. Advancing and receding contact angles were measured as a function of droplet volume by using different incident wavelengths: red, green and violet. Large differences in the contact angles were observed, depending on the wavelength of the incident light. These differences are usually related to the existence of illumination-induced surface charges or electromagnetically active inhomogeneities in the diamond films. The results show that this technique is sufficiently sensitive to correlate changes in the contact angle with changes in the wavelength used.  相似文献   
95.
This paper presents the design and prototype implementation of the SELFNET fifth-generation (5G) mobile edge infrastructure. In line with the current and emerging 5G architectural principles, visions, and standards, the proposed infrastructure is established primarily based on a mobile edge computing paradigm. It leverages cloud computing, software-defined networking, and network function virtualization as core enabling technologies. Several technical solutions and options have been analyzed. As a result, a novel portable 5G infrastructure testbed has been prototyped to enable the preliminary testing of the integrated key technologies and to provide a realistic execution platform for further investigating and evaluating software-defined networking– and network function virtualization–based application scenarios in 5G networks.  相似文献   
96.
Nowadays, it is common to find research problems (in system biology, mobile applications, etc.) that change over time, requiring algorithms which dynamically adapt the search to the new conditions. In most of them, the utilization of some information from the past allows to quickly adapt after a change. This is the idea underlining the use of memory in this field, what involves key design issues concerning the memory content, the process of update, and the process of retrieval. In this article, we focus on global memory schemes, which are the most intuitive and popular ones, and perform an integral analysis of current design variants based on a comprehensive set of benchmarks. Results show the benefits and drawbacks of each strategy, as well as the effect of the algorithm and problem features in the memory performance.  相似文献   
97.
Optimisation in changing environments is a challenging research topic since many real-world problems are inherently dynamic. Inspired by the natural evolution process, evolutionary algorithms (EAs) are among the most successful and promising approaches that have addressed dynamic optimisation problems. However, managing the exploration/exploitation trade-off in EAs is still a prevalent issue, and this is due to the difficulties associated with the control and measurement of such a behaviour. The proposal of this paper is to achieve a balance between exploration and exploitation in an explicit manner. The idea is to use two equally sized populations: the first one performs exploration while the second one is responsible for exploitation. These tasks are alternated from one generation to the next one in a regular pattern, so as to obtain a balanced search engine. Besides, we reinforce the ability of our algorithm to quickly adapt after cnhanges by means of a memory of past solutions. Such a combination aims to restrain the premature convergence, to broaden the search area, and to speed up the optimisation. We show through computational experiments, and based on a series of dynamic problems and many performance measures, that our approach improves the performance of EAs and outperforms competing algorithms.  相似文献   
98.
A series of designed peptides has been analyzed by 1H-NMR spectroscopy in order to investigate the influence of cross-strand side-chain interactions in beta-hairpin formation. The peptides differ in the N-terminal residues of a previously designed linear decapeptide that folds in aqueous solution into two interconverting beta-hairpin conformations, one with a type I turn (beta-hairpin 4:4) and the other with a type I + G1 beta-bulge turn (beta-hairpin 3:5). Analysis of the conformational behavior of the peptides studied here demonstrates three favorable and two unfavorable cross-strand side-chain interactions for beta-hairpin formation. These results are in agreement with statistical data on side-chain interactions in protein beta-sheets. All the peptides in this study form significant populations of the beta-hairpin 3:5, but only some of them also adopt the beta-hairpin 4:4. The formation of beta-hairpin 4:4 requires the presence of at least two favorable cross-strand interactions, whereas beta-hairpin 3:5 seems to be less susceptible to side-chain interactions. A protein database analysis of beta-hairpins 3:5 and beta-hairpins 4:4 indicates that the former occur more frequently than the latter. In both peptides and proteins, beta-hairpins 3:5 have a larger right-handed twist than beta-hairpins 4:4, so that a factor contributing to the higher stability of beta-hairpin 3:5 relative to beta-hairpin 4:4 is due to an appropriate backbone conformation of the type I + G1 beta-bulge turn toward the right-handed twist usually observed in protein beta-sheets. In contrast, as suggested previously, backbone geometry of the type I turn is not adequate for the right-handed twist. Because analysis of buried hydrophobic surface areas on protein beta-hairpins reveals that beta-hairpins 3:5 bury more hydrophobic surface area than beta-hairpins 4:4, we suggest that the right-handed twist observed in beta-hairpin 3:5 allows a better packing of side chains and that this may also contribute to its higher intrinsic stability.  相似文献   
99.
Mitral valve disease (MVD) is a frequent cause of heart failure and death worldwide, but its etiopathogenesis is not fully understood. Interleukin (IL)-33 regulates inflammation and thrombosis in the vascular endothelium and may play a role in the atherosclerotic process, but its role in mitral valve has not been investigated. We aim to explore IL-33 as a possible inductor of myxomatous degeneration in human mitral valves. We enrolled 103 patients suffering from severe mitral regurgitation due to myxomatous degeneration undergoing mitral valve replacement. Immunohistochemistry of the resected leaflets showed IL-33 and ST2 expression in both valve interstitial cells (VICs) and valve endothelial cells (VECs). Positive correlations were found between the levels of IL-33 and molecules implicated in the development of myxomatous MVD, such as proteoglycans, extracellular matrix remodeling enzymes (matrix metalloproteinases and their tissue inhibitors), inflammatory and fibrotic markers. Stimulation of single cell cultures of VICs and VECs with recombinant human IL-33 induced the expression of activated VIC markers, endothelial–mesenchymal transition of VECs, proteoglycan synthesis, inflammatory molecules and extracellular matrix turnover. Our findings suggest that the IL-33/ST2 system may be involved in the development of myxomatous MVD by enhancing extracellular matrix remodeling.  相似文献   
100.
Potassium homeostasis is fundamental for brain function. Therefore, effective removal of excessive K+ from the synaptic cleft during neuronal activity is paramount. Astrocytes play a key role in K+ clearance from the extracellular milieu using various mechanisms, including uptake via Kir channels and the Na+-K+ ATPase, and spatial buffering through the astrocytic gap-junction coupled network. Recently we showed that alterations in the concentrations of extracellular potassium ([K+]o) or impairments of the astrocytic clearance mechanism affect the resonance and oscillatory behavior of both the individual and networks of neurons. These results indicate that astrocytes have the potential to modulate neuronal network activity, however, the cellular effectors that may affect the astrocytic K+ clearance process are still unknown. In this study, we have investigated the impact of neuromodulators, which are known to mediate changes in network oscillatory behavior, on the astrocytic clearance process. Our results suggest that while some neuromodulators (5-HT; NA) might affect astrocytic spatial buffering via gap-junctions, others (DA; Histamine) primarily affect the uptake mechanism via Kir channels. These results suggest that neuromodulators can affect network oscillatory activity through parallel activation of both neurons and astrocytes, establishing a synergistic mechanism to maximize the synchronous network activity.  相似文献   
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