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Le traitement par LASER vaginal est une option thérapeutique d’utilisation croissante en urogynécologie, mais son intérêt reste débattu. L’objectif de cette revue était d’établir les données de la littérature et d’en produire une analyse critique.

Self-catheterisation (CIsC) is the gold standard treatment for bladder emptying disorders. A frequent complaint of patients undergoing CIsC is urinary tract infection (UTI). However, the epidemiology of UTIs remains poorly documented, particularly in the urological population. The aim of our study was to establish the epidemiology of infectious complications of CIsC.

L’objectif principal était d'évaluer la survie sans perte d’efficacité des ballonnets péri-urétraux ACT®/proACT® une fois la continence obtenue et de chercher des facteurs influençant cette dernière.

Humans and other living organisms harbor disease-causing pathogenic microorganisms. These microorganisms are often transmitted through physical contact with contaminated objects, such as food, water, or other people. While some theoretical and empirical research examines the ontogeny of contamination and contagion beliefs, cross-cultural research on this topic is limited. To help remedy this paucity of data, we conducted an ethnobiological study of contagion and contamination beliefs among Maasai children (n = 42) in the Simanjiro district, Tanzania. Participants include 36 middle-aged schoolchildren and six four-year-olds. We contrast the children's beliefs with those of 12 local adults. To measure children's views of contagion and contamination, we developed sentence-framed yes/no elicitation tasks using three different stimuli—a fly, a cough, and a cough from someone with respiratory symptoms. Qualitative semi-structured interviews were conducted to further understand children's ethnotheories of contamination and contagion. Children generally reported that coughs and flies are directly contaminating, whereas they offered mixed results for associational and indirect contamination. Children discussed time, psychological contagion, saliva, wind, and the supernatural/natural as key elements to their beliefs, reasons, and personal actions taken to minimize contamination/contagion risk. We found education to be significantly positively correlated with children reporting that flies and coughs were directly contaminating, while age had no effect. Although children were more likely than adults to associate flies with contamination, their general belief pattern differs little from adults. Local cultural-ecological factors and explanatory models of disease, as well as formal religious and education institutions, shape Maasai children's ethnobiological beliefs of contagions and contamination.

Congo Basin hunter-gatherers have used cannabis for nearly two centuries, yet ethnographic descriptions of its use are rare or contradictory. We present the results of two projects investigating cannabis use among Congo Basin hunter-gatherers. The first study, conducted in the 1970s, was a survey of cannabis use in three populations: Efe archers, Mbuti net-hunters, and Aka net-hunters. The second study, conducted in 2011, was an in-depth biocultural study of cannabis use among one of these groups, the Aka. Methods varied between the studies, but the integration of results from both studies provide insights into: a) common features of Congo Basin hunter-gatherer cannabis use across time and space; b) cross-cultural and intracultural diversity in use; and, c) factors influencing changes in use over time. Compared to typical cannabis research populations in Western, developed countries, cannabis use among Congo Basin hunter-gatherers involves extensive sharing, such as communal smoking, absence of gender or age proscriptions, perceived performance enhancing effects, and labor-for-cannabis exchanges with neighboring villagers. Cannabis was sometimes the first or the only plant that Congo hunter-gatherers domesticated. Consistent with cross-national studies of cannabis use, Congo Basin hunter-gatherer cannabis users were typically male, often adolescent or young adult, and (among Aka in 2011) had less material wealth than non-users. Aka cannabis users also had fewer intestinal parasites. Finally, cannabis use varied across time and space both within and between the three groups in ways that reflect differences in the demographic, cultural, and historical features of the populations, especially degree of sedentarization and market integration.

Subsistence horticulturalists learn considerable local ecological knowledge by early adulthood. We investigate the relationship between children's family environments and learning of their plant environment. In a rural village in Dominica, West Indies, children of ages four through 17 (N = 51) participated in a “plant trail” along a route containing 50 core local plants marked for identification. Plants in question resulted from village adults’ freelists on members of local plant domains found via nominal group technique (i.e., trees, staple foods, vegetables, condiments, medicines, and ornamentals). Individual children's ethnobotanical knowledge was assessed through proper plant identification with a local term. Findings indicate that children learn botanical domains differentially. They identify trees and staple crop plants early in life. As they develop, they learn other plant domains, and trees and staples decrease in proportion to total ethnobotanical knowledge. Boys retain a larger proportion of tree knowledge, as tree care is part of the masculine labor division. Children's, especially girls’, proportion of medicinal plant knowledge grows steadily into adulthood. As predicted, children with homes in extended family compounds demonstrate more ethnobotanical knowledge than children whose neighbors are not close kin. Contrary to predictions, a father's presence in the household is not an indicator of the children's plant identification ability. Having younger siblings predicts learning more plants. Trees form a smaller proportion of total plant knowledge for family-compound-living children and those with lower birth order, who tend to have greater overall ethnobotanical knowledge. Ethnobotanical learning relates to gender, birth order, and extended kin access.

Rapporter l’expérience d’un centre hospitalo-universitaire de la neuromodulation sacrée pour les patients ayant des troubles de vidange vésicale.

Le sphincter urinaire artificiel AMS 800®(SUA) est le traitement de référence de l’incontinence urinaire sévère par insuffisance sphinctérienne de l’homme et de la femme si elle est associée à un urèthre fixé.

Les réunions de concertation pluridisciplinaires (RCP) en pelvi-périnéologie prennent une importance grandissante dans la prise en charge des cas complexes en pelvi-périnéologie et leur tenue pourrait devenir obligatoire pour poser certaines indications dans un futur proche. Le but de cette étude était d’établir un état de lieux sur le territoire national concernant l’existence et les modalités de ces réunions.

This study identified parental practices that relate positively to high school students' academic performance. Parents of 643 high school students participated in the study. Data analysis, using a multiple linear regression model, shows parent-school connection, student gender, and race are significant predictors of student academic performance. In particular, aspects of parental involvement were found to vary significantly by student race; the study reveals a parallel racial gap in aspects of parental involvement and student performance. Results indicate, therefore, that efforts to close the racial gap in student achievement should pay equal attention to the racial gap in parental involvement practices. [ABSTRACT FROM AUTHOR]

Presents the short story "Gestural Drawing," by Mary Roulette.

The map at right showsthe most commonmisspelling of everystate by its residents;the ones misspelled themost are shown in darkgreen. News & Trends GEOGRAPHY Ever struggle to spellthe name of your state? To come up withthe data, researchersanalyzed Google trendsto find out how manylocals searched for "Howto spell" and the state'sname in the past year. [Extracted from the article]

SOURCE: UFI 1 in 2 millionODDS of twins being born in separate yearsin the U.S. A California woman gave birth toone twin at 11:45 p.m. on December 31, 2021,and the other at midnight on January 1, 2022.SOURCE: LOS ANGELES TIMES $490,000AMOUNT a rare copy of thefirst Incredible Hulk comic,from 1962, sold for in January.In it, the superhero is depictedin his original gray, instead ofhis now-signature green. News & Trends 76 yearsAGE of a World War II soldier's letterthat was finally delivered to his widow inMassachusetts this winter. The letter was sentfrom Germany in 1945. [Extracted from the article]

For the first time, visitors from around the world canvirtually visit the birthplace of democracy, the ancient siteof Olympia, and experience history firsthand." Microsoftand the Greek government have partnered to digitallypreserve the city of Olympia--the original home of theOlympic Games--so anyone can virtually experience howit looked in its heyday more than 2,000 years ago. Usingexhaustive archaeological research and thousands ofcurrent photos, experts were able to re-create 27 ancientmonuments in painstaking detail, including the OlympicStadium and the temples of Zeus and Hera. [Extracted from the article]

Scientists willthen measure how the asteroid's trajectory changes. News & Trends SPACE Despite the Hollywood doomsday scenarios,the odds of an asteroid hitting Earthand doing major damage anytime soon areslim, experts say. In November, NASAlaunched a refrigerator-sized spacecraft that willslam into a small asteroid called Dimorphos at15,000 miles per hour this fall. [Extracted from the article]

AbstractFor the purpose of improving knowledge about what influences people to consider undergoing HIV antibody testing, 180 male genito-urinary medicine (GUM) clinic attenders at a London teaching hospital were surveyed by anonymous self-completion questionnaire. The study addressed the relationships between intentions regarding HIV testing and age, relationship status, ethnicity, sexual orientation, HIV-related knowledge, self-perception of having been at risk for infection, and assessed risk of infection. Two predictors of HIV antibody testing intention were identified: self-perception of having been at risk for infection and relationship status. Respondents were unlikely to consider HIV testing if they did not perceive their possible risk of infection. Moreover, those in committed relationships were less likely than single respondents to consider having a test, all the more so if they had been with their partner for a longer period of time (over 6 years as opposed to less than 6 months). No other associations with the dependent variable were found. Implications of these findings for HIV prevention efforts are discussed.

Recent excavations at the Addison Plantation site (18 PR 175) resulted in the recovery of an assemblage of flintlock mechanisms and firearms hardware from several early 18th-century components. These materials were part of an armory maintained by Thomas Addison in conjunction with his duties as a colonel in command of the Prince George’s County militia. Analysis of this assemblage in the context of Addison family history and the early 18th-century history of the Potomac region provides insights into the duties of provincial militia officers and the evolving role of the militia on the Potomac frontier. Based on this analysis, the militia’s development from the early 17th century through the mid-18th century may be divided into two distinct periods: 1622–ca.l714, when the militia was very active as the primary defense of the frontier; and ca. 1715–1764, a period of decline during which the Prince George’s County militia was utilized primarily to prevent insurrection and to recapture runaway slaves.

Julia Epstein and Kristina Straub (eds), Bodyguards: The Cultural Politics of Gender Ambiguity (New York and London: Routledge, 1992), 400 pp., £40.00 (hardback), £12.90 (paperback)Marjorie Garber, Vested Interests: Cross-dressing and Cultural Anxiety (New York and London: Routledge, 1992), 500 pp., £25.00 (hardback)Joseph Bristow (ed.), Sexual Sameness: Textual Differences in Lesbian and Gay Writing (London and New York: Routledge, 1992), 262 pp., £35.00 (hardback), £10.99 (paperback)Peter Middleton, The Inward Gaze: Masculinity and Subjectivity in Modern Culture (London and New York: Routledge, 1992), 250 pp., £35.00 (hardback), £10.99 (paperback)Sally Robinson, Engendering the Subject: Gender and Self-Representation in Contemporary Women's Fiction (Albany, NY: SUNY Press, 1991), 248 pp., $14.95 (paperback)Sue Roe, Writing and Gender: Virginia Woolf's Writing Practice (Hemel Hempstead: Harvester Wheatsheaf/St Martin's Press, 1990), xii + 202 pp., £40.00 (hardback), £10.95 (paperback)Gilles Deleuze, Empiricism and Subjectivity: An Essay on Hume's Theory of Human Nature, translated by Constantin V. Boundas (New York: Columbia University Press, 1991), xv + 163 pp., $27.00 (hardback)John Bender and David E. Wellberry (eds), Chronotypes. The Construction of Time (Stanford: Stanford University Press, 1991), 258 pp., $39.90 (hardback)Anthony Giddens, Modernity and Self-Identity: Self and Society in the Late Modern Age (Cambridge: Polity Press, 1991), 256 pp., £39.50 (hardback), £11.95 (paperback)Paisley Livingston, Literature and Rationality: Ideas of Agency in Theory and Fiction (Cambridge: Cambridge University Press, 1991), 256 pp., £30.00 (hardback)John B. Thompson, Ideology and Modern Culture: Critical Social Theory in the Era of Mass Communication (Cambridge: Polity Press, 1990), 362 pp., £10.95 (paperback)Albrecht Wellmer, The Persistence of Modernity: Essays on Aesthetics, Ethics and Postmodernism (Cambridge: Polity Press, 1991), 266 pp., £35.00 (hardback)Ralph Cohen (ed.), The Future of Literary Criticism (London and New York: Routledge, 1989), 445 pp., £14.99 (paperback)Joseph Grixti, Terrors of Uncertainty: The Cultural Contexts of Horror Fiction (London and New York: Routledge, 1989), xviii + 214 pp., £10.99 (paperback)Leslie Hill, Beckett's Fiction: In Different Words (Cambridge: Cambridge University Press, 1990), 224 pp., £29.95 (hardback)Carla Locatelli, Unwording the World: Samuel Beckett's Prose Works After the Nobel Prize (Pennsylvania: University of Pennsylvania Press, 1990), 288 pp., $29.95 (hardback)Jeremy Hawthorn: Joseph Conrad. Narrative Technique and Ideological Commitment (London: Edward Arnold, 1990), 271 pp., £30.00 (hardback)N. Coupland, H. Giles and J. M. Wiemann (eds), 'Miscommunication' and Problematic Talk (Newbury Park: Sage Publications, 1991), 374 pp., £37.95 (hardback), £18.95 (paperback)

Objective: To determine the usefulness of mid-urethral slings (MUS) in the surgical management of women presenting with urinary stress incontinence (USI).

The article discusses the efforts and legislation that protect, promote and preserve the urban forest in the U.S. An ordinance was carried out that requires the citizens to plant trees in Philadelphia, Pennsylvania. The National Tree Trust and National Urban and Community Forestry Advisory Council provides forestry grants in Massachusetts. Greenwood neighborhood project is organized for stormwater management in Seattle, Washington.

Features African American publicist Clarence Williams. Description of himself; Career background; His views on a gay African American mafia.

Features photographer Al Baltrop. Description of his subjects in photography; Theme of his work; His health condition as of March 2003.

L’auto-transplantation rénale est une option dans la prise en charge des traumatismes sévères de l’uretère proximal. Sa complexité et sa morbidité rendent cette chirurgie exceptionnelle. Nous rapportons le premier cas d’auto-transplantation rénale robot-assistée intracorporelle européen.

Le traitement de l’incontinence urinaire d’effort (IUE) a largement été étudié dans la population générale. Cependant, l’état actuel des connaissances concernant les modalités de traitements de l’IUE des patientes ayant des vessies neurologiques (IUEN) reste limité. L’objectif de l’étude était d’évaluer l’efficacité et la tolérance des bandelettes sous-urétrales rétropubienne (BSU-RP) dans le traitement de l’IUE chez des patientes neurologiques réalisant des autosondages intermittents (ATSI).

Holep et plasma sont deux techniques de référence pour l’énucléation endoscopique de la prostate (eep). L’objectif de cette étude était de comparer les résultats de l’utilisation des deux sources d’énergie différentes que sont le laser holmium et le courant bipolaire.

Réaliser un état des lieux en France sur la neuromodulation des racines sacrées (NMS) dans le cadre des troubles du bas appareil urinaire (TBAU) et la grossesse.

Évaluer les résultats de la stimulation du nerf tibial de type TENS dans l’hyperactivité vésicale réfractaire idiopathique.

Évaluer les résultats de la neuromodulation des racines sacrées postérieures chez les patients en rétention chronique d’urine sans obstruction sous vésicale.

Étudier la répartition des trois monoxide d’azote synthase (NOS) : nNOS, iNOS, eNOS entre les zones périphérique (ZP) et transitionnelle (ZT) chez des patients ayant une hyperplasie bénigne prostatique (HBP).

ABSTRACTBackground: Diabetes prevalence is substantially higher among Canadian First Nations populations than the non-First Nation population. Fasting serum triglycerides have been found to be an important predictor of incident diabetes among non-indigenous populations. However, there is a great need to understand diabetes progression within specific ethnic groups, particularly First Nations populations.Objective: The purpose of this study was to test for an association between fasting serum triglycerides and incident diabetes, changes in insulin resistance and changes in β-cell function in a Manitoba First Nation cohort.Methods: Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 and 2011/2012. The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples and anthropometric, health and demographic data were collected. A generalised linear model with Poisson distribution was used to test for an association between fasting triglycerides and incident diabetes.Results: There were 35 incident cases of diabetes among 128 persons without diabetes at baseline. Participants who developed incident type 2 diabetes were significantly older and had significantly higher body mass index (BMI; p=0.012), total cholesterol (p=0.007), fasting triglycerides (p<0.001), and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (p<0.001). Fasting triglyceride level was found to be a statistically significant positive predictor of incident diabetes independent of age, sex and waist circumference at baseline. Participants with triglycerides in the highest tertile (≥2.11 mmol/l) had a 4.0-times higher risk of developing incident diabetes compared to those in the lowest tertile (p=0.03). Notably, neither waist circumference nor BMI were significant predictors of incident diabetes independent of age, sex and triglycerides.Conclusion: Fasting triglycerides may be useful as a clinical predictor of insulin resistance and diabetes development among First Nations populations. Unlike other ethnic groups, BMI and waist circumference may be less important factors in diabetes development.

ABSTRACTThe Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diabetes status and management. Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 (baseline) and 2011/2012 (follow-up). The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples, anthropometric, health and demographic data were collected. At baseline, 24.8% (n=41) of the cohort members had diabetes. At follow-up, an additional 20.6% (n=34) developed diabetes. Among all participants with diabetes (long-term and incident cases), 66.6% lost weight between the two study periods. Among only participants with long-term diabetes (>8 years), 31.7% lost >10 kg. HbA1c at baseline, positive change in HbA1c over time, and use of metformin were significantly associated with weight loss ≥5%, independent of age, sex, and BMI at baseline. Further research is needed to better understand if and how diabetes-related weight loss contributes to morbidity and mortality in this First Nation population.

The author discusses issues related to the proper cultivation and treatment of plants in the U.S. According to the author, plants should be treated with respect by providing them space to grow and develop regardless of their scent, size and structure. However, the author also reflects whether engendering respect for plants would lead to world peace.

Interviews African American gay artist John Blankston. Conceptual content of his art works; Views on reading; Factors that influenced his artmaking.

Évaluer les résultats de la stimulation du nerf tibial de type TENS dans la prise en charge des douleurs pelviennes chroniques.

Évaluer les résultats du traitement des troubles vésico-sphinctériens (TVS) par neuromodulation des racines sacrées (NMS).

Réaliser un état des lieux en France sur la neuromodulation des racines sacrées (NMS) dans le cadre des troubles du bas appareil urinaire (TBAU) et grossesse.

Étudier le nombre et les causes de reprises chirurgicales des patients traités par neuromodulation des racines sacrées (NMS) pour troubles vésico-sphinctériens (TVS).

Presents the poem "This Sporting Life," by Emmy Roulette. First Line: So, I'm laid off again and we joke about it, our; Last Line: and crawls into bed.

The article reports on the involvement of the PlantAmnesty (PA) group in the Saving the Urban Forest program in Seattle, Washington. 77% of the members supported the plan of involvement due to positive rewards for those who preserve trees; passionate and educational lobbying for changing city policies and individual behavior; the development of a tree preservation ordinance based on rewarding actions of preservation and bringing public attention to actions of an anti-tree nature.

Dichloro (5, 7, 8, 10, 11, 13, 14, 16-octahydro [1, 4, 7, 10] tetraoxacyclohexadecino-[13, 12-b: 14, 15-b′] dipyridine-Nl, N20) platinum (II), (KP 1220) is a platinum analog reacting with nucleophilic sites on DNA, causing intra- and interstrand crosslinks as well as DNA-protein crosslinks. This agent has shown antitumor activity in established tumor cell lines. We have studied the effect of KP1220 on in vitrosoft agar colony formation of 77 freshly obtained human tumors using a capillary cloning system. Major tumor subgroups were: 13 melanoma, 10 mesothelioma, 9 renal, 7 breast, 6 non-small cell lung, 6 ovary, and 6 carcinoma of unknown primary. Final concentrations were 0.1, 1.0, 10.0μg/ml fur continuous exposure (21–28 days) and 0.1, 0.4 (equirnolarto cisplatin), 0.48 (equimolar to carboplatin), 1.0, 10.0μg/ml fur short-term (1hour) exposure. Using a continuous exposure, 52/77 specimens (68%) showed evaluable colony formation in controls. KP 1220 inhibited tumor colony formation in a concentration-dependent manner with 2/52 specimens (4%) inhibited at 0.1μg/ml, 12/52 (23%) at 1.0.μg/ml and 36/52 (69%) at 10.0μg/ml. Using a short-term exposure, 49/77 specimens (64%) were evaluable. Again, concentration-dependent inhibition of tumor colony formation was observed with 1/47 specimens (2%) inhibited at 0.1μg/ml, 9/49 (18%) at 0.4μg/ml, 16/48 (33%) at 1.0μg/ml and 35/49 (71%) at 10μg/ml. At concentrations≥1μg/ml, KP 1220 was as active as other clinically used antineoplastic agents. We conclude that KP 1220 has antitumor activity. Further clinical development of these agents should be considered.