Smooth muscle of the bladder in the normal and the diseased state: pathophysiology, diagnosis and treatment

The smooth muscle of the normal bladder wall must have some specific properties. It must be very compliant and able to reorganise itself during filling and emptying to accommodate the change in volume without generating any intravesical pressure, but whilst maintaining the normal shape of the bladder. It must be capable of synchronous activation to generate intravesical pressure at any length to allow voiding. The cells achieve this through spontaneous electrical activity combined with poor electrical coupling between cells, and a dense excitatory innervation. In the diseased state, alterations of the smooth muscle may lead to failure to store or failure to empty properly. The diseased states discussed are bladder instability and diabetic neuropathy. Bladder instability is characterised urodynamically by uninhibitable rises in pressure during filling, and is seen idiopathically and in association with bladder outflow obstruction and neuropathy. In diabetic neuropathy, many of the smooth muscle changes are a consequence of diuresis, but there is evidence for alterations in the sensory arm of the micturition reflex. In the unstable bladder, additional alterations of the smooth muscle are seen, which are probably caused by the patchy denervation that occurs. The causes of this denervation are not fully established. Nonsurgical treatment of instability is not yet satisfactory; neuromodulation has some promise, but is expensive, and the mechanisms poorly understood. Pharmacological treatment is largely through muscarinic receptor blockade. Drugs to reduce the excitability of the smooth muscle are being sought, since they may represent a better pharmacological option.     

第三代手机射频架构

大多数电信企业为获得3G许可证投入了巨额资金，现在他们还需要进行基础设施投资，以为这一企盼已久的技术提供支持。总的成本将会达数十亿英磅，因此电信商面临很大的压力，需要尽快偿还债务并快速获得赢利，达到这一目标的最快速的方法还是尽快启动3G的消费市场。对于价格竞争激烈的多媒体功能等服务，赢得消费者和商业客户青睐并迅速收回投资的关键是提供价格合理的手机。包括发射器和接收器在内的手机内部电路在手机成本中占了相当大的部分。为降低3G手机射频解决方案的总体成本，必须满足三个主要目标：即降低芯片成本、减少外部器件…     

Logical foundations of nonmonotonic reasoning

In this paper we shall review the main appraches to nonmonotonic reasoning which we classify from the perspective of their underlying logical settings as classical, intuitionistic, three-valued/partial models, and conditional. We shall be placing special emphasis on some of the prominent approaches. We shall also give hints on potential future directions and emphasize that more theoretical work is still needed before a move to application is made.     

移动视频点播比移动广播方式更有市场

在车站等车的时候你或许有几分钟的时间需要打发。这时，你拿起手机输入一串紧缩码，只几秒钟，便看到一段你想看的电影片花或是最近朋友们谈论的YouTube上的某个3min的视频剪辑。     

管理技术--创新、学习及成熟度(中)

在基于项目的组织中实现创新 在本节我们将探讨如何在项目环境中进行创新.首先我们来了解一下人们进行改变,进而实现创新的规律;然后我们介绍两种截然不同的管理创新的方法,即常用的线性推理方法和有机推进法;最后,我们对它们的优缺点做一个比较,看看它们各自适用于什么情况.     

Arterial reactivity is enhanced in genetic males taking high dose estrogens

OBJECTIVES: We sought to assess whether high dose estrogen treatment is associated with enhanced arterial reactivity in genetic males. BACKGROUND: Although estrogens have been shown to enhance arterial reactivity in women, and are thereby thought to confer cardiovascular benefit, the vascular effects of long-term estrogen therapy in genetic males is unknown. METHODS: We studied the arterial physiology of 30 genetic males--15 male to female transsexuals receiving long-term high dose estrogen therapy and 15 healthy male control subjects matched for age, smoking history and vessel size. Using external vascular ultrasound, brachial artery diameter was measured at rest, after flow increase (causing endothelium-dependent dilation [EDD]) and after nitroglycerin (GTN), an endothelium-independent dilator. Blood pressure, cholesterol and testosterone levels were also measured in each subject. RESULTS: Total testosterone and free testosterone index levels were lower in the transsexuals compared with the control subjects (p < 0.001). In contrast, EDD was significantly higher in the transsexuals than in the control males (mean [+/-SD] 7.1 +/- 3.1% vs. 3.2 +/- 2.8%, p = 0.001), as was the GTN response (21.2 +/- 6.7% vs. 14.6 +/- 3.3%, p = 0.002). Total and high density lipoprotein cholesterol, blood pressure levels and baseline vessel size were similar in the two groups. On multivariate analysis, enhanced EDD was associated independently with estrogen therapy (p = 0.02) and with low total cholesterol (p = 0.04). An enhanced GTN response was also significantly associated with estrogen therapy (p = 0.03). CONCLUSIONS: Long-term treatment with high dose estrogens is associated with enhanced arterial reactivity in genetic males, which may be due to the effects of estrogen excess or androgen deprivation, or both.     

Validation of analytical capillary electrophoresis methods for use in a regulated environment

Since its introduction into the analytical laboratory, CE has had to prove that it was capable of generating results comparable to HPLC or GC techniques in the six areas (specificity, precision, accuracy, linearity, ruggedness, and range) typically required of validated methods intended for submission to governmental agencies. This paper will showcase the development and validation of two analytical methods: one for specific identification of HEPES (N-[2-hydroxyethyl]piperazine-N'-[2-ethane sulfonic acid]) and the other to quantitate millimolar concentrations of tris (tris[hydroxymethyl]aminomethane) in high electrolyte solutions. Utilizing neutral markers and internal standards, results for HEPES demonstrate that migration time reproducibility, expressed as %RSD of 2% or less on a variety of capillaries, is obtainable. Additionally, for quantitation of tris, the values obtained for accuracy (%relative mean bias), precision (%RSD), and linearity (r2) over multiple days and capillaries meet the rigorous standards we require of HPLC or GC methods.     

Transoesophageal echocardiographic assessment of haemodynamic function during laparoscopic cholecystectomy

We have measured cardiovascular changes associated with insufflation of carbon dioxide and the reverse Trendelenburg position during laparoscopic cholecystectomy, using transoesophageal echocardiography in 13 healthy patients. End-tidal carbon dioxide values increased after insufflation of carbon dioxide, with values significantly (P < 0.05) increased after lateral tilt positioning. Creation of a pneumoperitoneum was associated with increases (P < 0.05) in left ventricular end-systolic wall stress, concomitant with increases (P < 0.01) in peak airway pressure and systemic arterial pressure. In addition, left ventricular end-diastolic area decreased (P < 0.05) after reverse Trendelenburg positioning. Left ventricular ejection fraction was maintained throughout the study.     

Achieving synergy in collaborative education

Professional software engineering continues to face problems that involve large-scale (complex) software systems development. Such efforts typically require team collaboration over months, possibly years. Once implemented, the system must be maintained for sometimes decades. This development and maintenance life cycle requires not only technical knowledge and skills in software development, but also the knowledge and skills associated with software process. We believe the traditional computer science curriculum fails to consider this spectrum of needs. We also believe, however, that software engineering must use certain elements of the core knowledge and skills taught by computer scientists as its foundation. We describe lessons learned from the 10-year collaboration between Monmouth University and the Software Engineering Center of the US Army's CECOM (Communications Electronics Command). The center recruits electrical engineering and computer science graduates from academic institutions in the geographic regions surrounding its various installations to be part of its intern program; Monmouth University, in turn, incorporates the demands of the intern program in its Master of Science in software engineering curriculum     

Screen‐printed biosensor for allergens

Allergen levels in indoor environments, leading to many diseases, eg asthma, rhinitis and conjunctivitis, affect a large and increasing fraction of the population. A quite effective and inexpensive method of a rough but very rapid overall assessment of total allergen level in the environment has been developed. The method involved estimation of protein in allergen extracts by screen‐printed electrodes using two different techniques. The biosensor comprised a rhodinised carbon working electrode, a silver/silver chloride reference electrode and a carbon counter electrode. In the first method the enzyme protease reacted with allergen protein to release amino acid, which produced hydrogen peroxide in the presence of amino acid oxidase. This was detected amperometrically. The second method used potassium bromide as electrolyte and the electrode was subjected to dual potential. Bromine, released due to electrolysis at higher potential, was consumed by the allergen protein at lower potential. In the first method, a unique technique was used to microencapsulate the enzyme protease and immobilise it on the surface of the electrode by in‐situ polymerisation to avoid contact with the amino acid oxidase. A total of seven allergens were tested and the results gave a good correlation with the standard protein measurement method. Environmental specimens from indoors, schools and workplaces can be evaluated for the aeroallergens produced by dust mites, animal hairs, cockroach debris, pollens, etc as a means of determining the exposure risk. Copyright © 2005 Society of Chemical Industry