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  • Open Access

    REVIEW

    Management of bulbar urethral strictures: review of current practice

    Ammar Hameed, Aza Mohammed, Sharjeel Nasir, Michael Plamer

    Canadian Journal of Urology, Vol.18, No.3, pp. 5676-5682, 2011

    Abstract Male urethral stricture disease is one of the common conditions encountered in the day-to-day urological practice. It can present at any age and has a wide range of etiological factors including infection, trauma and instrumentation. It usually manifests itself as lower urinary tract symptoms or urinary tract infections with signifi cant impairment in the quality of life. There are several treatment options for this condition and these mainly depend on the site, length, the underlying cause and previous treatment. The management of bulbar urethral strictures has greatly evolved over the last few decades with more More >

  • Open Access

    REVIEW

    Screening for prostate cancer: the current evidence and guidelines controversy

    Leonard G. Gomella1, Xiaolong S. Liu1, Edouard J. Trabulsi1, Wm. Kevin Kelly2, Ronald Myers2, Timothy Showalter3, Adam Dicker3, Richard Wender4

    Canadian Journal of Urology, Vol.18, No.5, pp. 5875-5883, 2011

    Abstract Introduction: Prostate cancer presents a global public health dilemma. While screening with prostate specific antigen (PSA) has led to more men diagnosed with prostate cancer than in previous years, the potential for negative effects from over-diagnosis and treatment cannot be ignored.
    Materials and methods: We reviewed Medline for recent articles that discuss clinical trials, evidence based recommendations and guidelines from major medical organizations in the United States and worldwide concerning prostate cancer screening.
    Results: Results from the European Randomized Screening for Prostate Cancer (ERSPC), the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial, and Göteborg Swedish trials… More >

  • Open Access

    ABSTRACT

    From Research to System Application-current overview of the fuel cell demonstration and promotion program in Taiwan

    Mrs.Alice Chia-Mei Liu, Dr.Chang-Chung Yang, Mr.Sheng-Yuan Huang

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.17, No.3, pp. 95-96, 2011, DOI:10.3970/icces.2011.017.095

    Abstract Fuel cell technology one of the hottest topics in the green energy industry and has become a popular topic in most of the international green energy symposiums. In the meantime,the development of the fuel cell industry has been recognized as one of the key rising industries in Taiwan. Since 2009,the Industrial Technology Research Institute(ITRI) has collaborated with Chung-Hua Institution for Economic Research(CIER) for implementing the fuel cell demonstration and promotion programs which are supported by the Bureau of Energy, Ministry of Economic Affairs. This program focuses on three major areas for application of fuel cells:backup… More >

  • Open Access

    ARTICLE

    Overactive bladder symptoms in women: current concepts in patient management

    William A. Easton

    Canadian Journal of Urology, Vol.17, Suppl.1, pp. 12-17, 2010

    Abstract The symptoms of overactive bladder (OAB) -- urinary urgency, frequency, and urge incontinence -- can cause signifi cant lifestyle limitations. Social isolation, depression, employment diffi culties, and relationship stress are common fi ndings in patients with this condition. This article focuses on women with OAB who are seen in primary care. Occasionally, OAB (or detrusor overactivity) may be the result of neurological disease, metabolic disease, or urinary tract abnormalities. Primary care practitioners can play a key role in identifying affected individuals by including a focused question in every annual patient physical assessment. Investigation and treatment More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Robot-assisted pyeloplasty: review of the current literature, technique and outcome

    Iqbal Singh1, Ashok K. Hemal2

    Canadian Journal of Urology, Vol.17, No.2, pp. 5099-5108, 2010

    Abstract Aim: To review the global select data on the current technique, perioperative outcome and literature on the robot-assisted pyeloplasty (RAP).
    Methods: The published English literature (PubMed) was extensively searched using the key words; robot, robot-assisted pyeloplasty, laparoscopy, laparoscopic pyeloplasty and ureteropelvic junction obstruction. The selected studies were then reviewed, tracked and analyzed in order to determine the current role, outcome and status of robot-assisted laparoscopic pyeloplasty.
    Results: The search yielded about 25 published series on RAP comprising about 740 cases with a mean operative time, estimated blood loss, crossing vessel prevalence, hospital stay, perioperative complication rate and follow More >

  • Open Access

    ARTICLE

    A prospective survey of current prostate biopsy practices among oncological urologists

    Simon Brewster1, Levent Türkeri2, Maurizio Brausi3, Vincent Ravery4, Bob Djavan5

    Canadian Journal of Urology, Vol.17, No.2, pp. 5071-5076, 2010

    Abstract Background: Needle biopsy of the prostate is a common outpatient procedure. In March 2009, the European Association of Urology (EAU) published an updated, evidence-based "Guidelines on Prostate Cancer," including recommendations for this procedure.
    Objective: To survey onco-urology specialists attending the 6th European Section of Oncological Urology (ESOU) meeting in Istanbul, Turkey in January 2009, to assess their biopsy practices and compare them with March 2009 EAU guidelines.
    Design, setting and participants: The authors designed a questionnaire and distributed it to 606 conference delegates. It was completed by 298 delegates, of whom 156 were experienced onco-urological specialists.
    Measurements: The survey… More >

  • Open Access

    REVIEW

    Natural orifi ce transluminal endoscopic surgery (NOTES): current experience and urologic applications

    Daniel P. Casella, Marc C. Smaldone, Timothy D. Averch

    Canadian Journal of Urology, Vol.17, No.3, pp. 5151-5161, 2010

    Abstract Natural orifi ce transluminal endoscopic surgery (NOTES) has attracted considerable recent attention for its potential to allow traditional abdominal procedures to be performed without a transabdominal incision. With considerable experience in the development and application of minimally invasive techniques, urologists have played a signifi cant role in early experimental NOTES efforts and have contributed to early investigations in human subjects accordingly. However, adoption of these techniques has been limited due to cumbersome endoscopic equipment and concerns regarding peritonitis from failed viscerotomy closure. Experience with use of NOTES in human subjects is limited, and studies comparing More >

  • Open Access

    ARTICLE

    Concurrent Atomistic/Continuum Simulation of Thermo-Mechanical Coupling Phenomena

    Xianqiao Wang1, James D. Lee1

    CMES-Computer Modeling in Engineering & Sciences, Vol.62, No.2, pp. 150-170, 2010, DOI:10.3970/cmes.2010.062.150

    Abstract The concurrent methods for coupling molecular dynamics with continuum thermodynamics offer a myriad of challenging problems, mostly related with energy transmission, wave reflection, and damage propagation at the interfaces between the continuum description and the discrete description. In this work, by virtue of the atomistic field theory (AFT), we present an analysis to reconcile the compatibility between atomic region and continuum region and to calculate the matching temperature field of a heat conduction problem in a concurrent atomistic/continuum system. First, formulation of AFT with finite temperature and its corresponding finite element implementation are briefly introduced. More >

  • Open Access

    ARTICLE

    Efficient Cohomology Computation for Electromagnetic Modeling

    Paweł Dłotko1, Ruben Specogna2

    CMES-Computer Modeling in Engineering & Sciences, Vol.60, No.3, pp. 247-278, 2010, DOI:10.3970/cmes.2010.060.247

    Abstract The systematic potential design is of high importance in computational electromagnetics. For example, it is well known that when the efficient eddy-current formulations based on a magnetic scalar potential are employed in problems which involve conductive regions with holes, the so-calledthick cutsare needed to make the boundary value problem well defined. Therefore, a considerable effort has been invested over the past twenty-five years to develop fast and general algorithms to compute thick cuts automatically. Nevertheless, none of the approaches proposed in literature meet all the requirements of being automatic, computationally efficient and general. In this More >

  • Open Access

    ARTICLE

    No predictive value of serum interleukin-6 and transforming growth factor-β1 in identifying patients with a first restenosis, recurrent restenosis or a history of restenosis

    Bartosz Hudzik1, Janusz Szkodzinski1, Wojciech Romanowski2, Krzysztof Wilczek1, Rafal Wojnar1, Andrzej Lekston1, Lech Polonski1, Barbara Zubelewicz-Szkodzinska2

    European Cytokine Network, Vol.20, No.3, pp. 135-139, 2009, DOI:10.1684/ecn.2009.0160

    Abstract Background. The efficacy of percutaneous coronary intervention (PCI) is limited by the need for repeat revascularization resulting from restenosis. The restenosis rate after treatment for in-stent restenosis (recurrent restenosis) is high (> 30%). Numerous studies have suggested the predictive value of interleukin 6 (IL-6) and transforming growth factor β1 (TGF-β1). Methods. We sought to determine whether serum levels of IL-6 and TGF-β1 could help identify individuals with recurrent restenosis. Thirty seven patients with a history of stent implantation were enrolled and divided into three groups: (1) patients with a current, first restenosis (n = 9);… More >

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