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  • Open Access

    ARTICLE

    Pubovaginal bone anchor fixation with polyethylene versus fascia lata slings in the treatment of female stress incontinence:sling material and processing are predominant factors in success

    H. Schulte-Baukloh, F. Thalau, B. Stürzebecher, H. H. Knispel

    Canadian Journal of Urology, Vol.12, No.2, pp. 2581-2587, 2005

    Abstract Objective: The opponents of the In-Tac™ bone anchor system note the risk of a high rate of wound infection and osteitis pubis. We evaluated whether there is a difference in the outcome of the use of two different sling materials – polyethylene and fascia lata – with regard to wound infection, and analyzed the incidence of osteitis pubis further in a larger series.
    Material and methods: A total of 61 women (mean age = 65.4 years) were treated for stress urinary incontinence (SUI) type II and III using the In-Tac™ bone anchor system. In 15 of 61… More >

  • Open Access

    ARTICLE

    Interfacial Strength of Cement Lines in Human Cortical Bone

    X. Neil Dong1,2, Xiaohui Zhang1, X. Edward Guo1

    Molecular & Cellular Biomechanics, Vol.2, No.2, pp. 63-68, 2005, DOI:10.3970/mcb.2005.002.063

    Abstract In human cortical bone, cement lines (or reversal lines) separate osteons from the interstitial bone tissue, which consists of remnants of primary lamellar bone or fragments of remodeled osteons. There have been experimental evidences of the cement line involvement in the failure process of bone such as fatigue and damage. However, there are almost no experimental data on interfacial properties of cement lines in human cortical bone. The objective of this study is to design and assemble a precision and computer controlled osteon pushout microtesting system, and to experimentally determine the interfacial strength of cement… More >

  • Open Access

    ARTICLE

    A New Fast Multipole Boundary Element Method for Large Scale Analysis of Mechanical Properties in 3D Particle-Reinforced Composites

    Haitao Wang1, Zhenhan Yao1

    CMES-Computer Modeling in Engineering & Sciences, Vol.7, No.1, pp. 85-96, 2005, DOI:10.3970/cmes.2005.007.085

    Abstract This paper addresses a new boundary element method (BEM) for the numerical analysis of mechanical properties in 3D particle-reinforced composites. The BEM is accelerated by a new version fast multipole method (FMM) in order to perform large scale simulation of a representative volume element (RVE) containing up to several hundred randomly distributed elastic spherical particles on only one personal computer. The maximum number of degrees of freedom (DOF) reaches more than 300,000. Efficiency of the developed new version fast multipole BEM code is evaluated compared with other conventional solutions for BEM. The effects of micro-structural More >

  • Open Access

    ARTICLE

    Forced Dissociation of Selectin-ligand Complexes Using Steered Molecular Dynamics Simulation

    Shouqin Lü1, Mian Long1,2

    Molecular & Cellular Biomechanics, Vol.2, No.4, pp. 161-178, 2005, DOI:10.3970/mcb.2005.002.161

    Abstract Selectin-ligand interactions are crucial to such biological processes as inflammatory cascade or tumor metastasis. How transient formation and dissociation of selectin-ligand bonds in blood flow are coupled to molecular conformation at atomic level, however, has not been well understood. In this study, steered molecular dynamics (SMD) simulations were used to elucidate the intramolecular and intermolecular conformational evolutions involved in forced dissociation of three selectin-ligand systems: the construct consisting of P-selectin lectin (Lec) and epidermal growth factor (EGF)-like domains (P-LE) interacting with synthesized sulfoglycopeptide or SGP-3, P-LE with sialyl Lewis X (sLeX), and E-LE with sLeX. SMD… More >

  • Open Access

    ARTICLE

    High cytokine levels at admission are associated with fatal outcome in patients with necrotizing fasciitis

    Kathrin Lungstras-Bufler1, Philip Bufler1, Rabiatu Abdullah2, Christine Rutherford2, Stefan Endres3, Edward Abraham1, Charles A. Dinarello1, Robert M. Rodriguez2

    European Cytokine Network, Vol.15, No.2, pp. 135-138, 2004

    Abstract We evaluated in a blinded fashion the cytokine profiles of patients with suspected necrotizing fasciitis. In 15 out of 20 patients, the diagnosis of necrotizing fasciitis was established; five patients had cellulitis. Eighteen of the 20 patients were i.v. drug users. Five of the 15 patients with necrotizing fasciitis died (33%). On admission, serum levels for interleukin-1β (IL-1β), IL-1-receptor antagonist (IL-1Ra), IL-18 and interferon-γ (IFNγ) as well as white blood cells (WBC) were significantly elevated in patients with fatal outcome compared to survivors with necrotizing fasciitis. IL-1Ra and WBC levels were also higher than in More >

  • Open Access

    ARTICLE

    Plasmodium falciparum-specific interleukin-2 and tumor necrosis factor-α expressing-T cells are associated with resistance to reinfection and severe malaria in healthy African children

    Michael Ramharter1,2,3, Peter G. Kremsner2,3, Martin Willheim4, Heidi Winkler1,3, Wolfgang Graninger1, Stefan Winkler1,3

    European Cytokine Network, Vol.15, No.3, pp. 189-196, 2004

    Abstract The frequency of P. falciparum-specific interleukin (IL)-2-, interferon (IFN)-γ-, tumor necrosis factor (TNF)-α- and IL-10-expressing CD3+ cells was studied in healthy Gabonese children segregated according to their clinical presentation at admission to a longitudinal study of severe and mild malaria. The percentage of IL-2- and TNF-α- expressing P. falciparum-specific CD3+ cells was significantly higher in the children with prior mild malaria and less frequent reinfections compared to the children with prior severe malaria and more frequent reinfections. No differences were shown for P. falciparum-specific IFN-γ and IL-10 expression within CD3+ cells and parasite-non-specific expression of IL-2, IL-4, IL-6, IL-10, IL-13, More >

  • Open Access

    ARTICLE

    Genetic polymorphism of interleukin-8 (IL-8) is associated with Helicobacter pylori-induced duodenal ulcer

    Zsofia Gyulai1, Gergely Klausz1, Andrea Tiszai2, Zsuzsanna Lénárt2, Izabella Tóth Kása3, János Lonovics2, Yvette Mándi1

    European Cytokine Network, Vol.15, No.4, pp. 353-358, 2004

    Abstract Background and aims. Helicobacter pylori infection almost invariably causes chronic gastritis, but only a proportion of the infected subjects develop peptic ulcers. The local inflammation associated with H. pylori infection is characterized by an increased production of the proinflammatory cytokines IL-1–B, IL-6, IL-8 and TNF-α. Since such cytokine production is often determined by the genetic polymorphism of regions regulating cytokine gene expression, we investigated the relationship between TNF-α and IL-8 polymorphisms and the development of duodenal ulcer disease. We also sought a correlation between the promoter polymorphism of the lipopolysaccharide (LPS) receptor CD14 and the formation… More >

  • Open Access

    ARTICLE

    Steep elevation of blood interleukin-6 (IL-6) associated only with late stages of cachexia in cancer patients

    Satoru Iwase, Tadashi Murakami, Yuichiro Saito, Keiichi Nakagawa

    European Cytokine Network, Vol.15, No.4, pp. 312-316, 2004

    Abstract Changes in blood cytokines of 28, consenting, terminally ill cancer patients were studied to determine a relationship between cachexia and changes in cytokine levels. Levels of PTHrP and five types of cytokines considered to be associated with cachexia, TNFα, IL-1β, IL-6, IFNγ and LIF, were measured during routine blood examination and were compared with clinical findings. With the exception of TNF-α, which was detected in one patient, only IL-6 was detected in all 28 patients recruited in this study. Ten patients showed a sharp elevation of IL-6 just before death, following a 40-day period in… More >

  • Open Access

    ARTICLE

    The American Urological Association 2003 guideline on management of benign prostatic hyperplasia: a Canadian opinion

    J. Curtis Nickel1, Fred Saad2

    Canadian Journal of Urology, Vol.11, No.2, pp. 2186-2193, 2004

    Abstract The 2003 American Urological Association (AUA) guideline on management of benign prostatic hyperplasia (BPH) was released at the AUA annual meeting in Chicago, April 2003 and the diagnosis and treatment recommendations were published later in 2003. It is likely that the 2003 AUA guideline on the management of BPH will have a profound effect on clinical urologic practice in the USA, but its influence on Canadian urological practice will be different because of our socialized medical system, manpower issues, availability of expensive technology and our unique Canadian perspective. The authors review the 2003 AUA guideline More >

  • Open Access

    RESIDENT’S CORNER

    Tissue reactions of the rabbit urinary bladder to cadaveric human fascia lata and polypropylene surgical mesh

    Danny M. Rabah1, Louis R. Bégin2, Abdelrahman Zahran1, Jacques Corcos1

    Canadian Journal of Urology, Vol.11, No.4, pp. 2344-2349, 2004

    Abstract Objective: To evaluate and compare histological tissue reactions of the urinary bladder to human cadaveric fascia lata (CFX) slings and synthetic mesh.
    Methods: Thirty rabbits were randomized to three groups: group A (multifilament - Surgipro Mesh®) 12 animals, group B (CFX) 12 animals, and group C (surgical controls) 6 animals. A piece of Mesh or CFX was fixed in direct contact with the anterior bladder neck wall. The control group simply underwent sham bladder manipulation. The animals were sacrificed at 6- and 12-week intervals, and their bladders were collected for histological analysis.
    Results: Group A showed fibrosis within… More >

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