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Background Functional hypogonadism is a condition in which some, but not all, older men have low testosterone levels. Rather than chronological age per se, the causality of hypogonadism includes obesity and impaired general health (e.g., metabolic syndrome). An association between testosterone deficiency and lower urinary tract symptoms (LUTS) has been reported, yet due to prostate safety concerns, men with severe LUTS (IPSS score > 19) have invariably been excluded from entering testosterone trials. Irrespective, exogenous testosterone has not been demonstrated to cause de novo or worsen mild to moderate LUTS. Objective This study investigated whether long-term testosterone therapy (TTh) could have a protective effect on improving the symptoms of LUTS in hypogonadal men. However, the exact mechanism by which testosterone exerts is beneficial effect remains uncertain. Patients and methods In this study 321 hypogonadal patients with an average age of 58.9 ± 9.52 years received testosterone undecanoate in 12-week intervals for 12 years. One hundred and forty-seven of these males had the testosterone treatment interrupted for a mean of 16.9 months before it was resumed. Total testosterone, International Prostate Symptom Scale (IPSS), post-voiding residual bladder volume and aging male symptoms (AMS) were measured over the study period. Results Prior to TTh interruption, it was observed that testosterone stimulation improved the men’s IPSS, AMS and post-voiding residual bladder volume, while their prostate volume significantly increased. During the TTh interruption, there was a significant worsening in these parameters, although the increase in prostate volume continued. When TTh was resumed, these effects were reversed, implying that hypogonadism may require lifelong treatment.

International audience; Flexible barriers are widely used as protection structures against natural hazards in mountainous regions, in particular for containing granular materials such as debris flows, snow avalanches and rock slides. This article presents a discrete element method-based model developed in the aim of investigating the response of flexible barriers in such contexts. It allows for accounting for the peculiar mechanical and geometrical characteristics of both the granular flow and the barrier in a same framework, and with limited assumptions. The model, developed with YADE software, is described in detail, as well as its calibration. In particular, cables are modeled as continuous bodies. Besides, it naturally considers the sliding of rings along supporting cables. The model is then applied for a generic flexible barrier to demonstrate its capacities in accounting for the behavior of different components. A detailed analysis of the forces in the different components showed that energy dissipators (ED) had limited influence on total force applied to the barrier and retaining capacity, but greatly influenced the load transmission within the barrier and the force in anchors. A sensitivity analysis showed that the barrier's response significantly changes according to the choice of ED activation force and incoming flow conditions.

This paper presents a numerical model based on Discrete Element Method used to reproduce a series of tests of dry granular flow impacting a rigid wall. The flow was composed of poly-dispersed non-spherical particles flowing in an inclined chute with different inclination angles. The model has been calibrated based on the flow thickness measurements and the shape of the flowing particles (a single sphere and a clump). Quantitative comparison with experimental data showed good agreement in terms of peak impact force on the wall, the time of the peak and also the residual force values at the end of the tests. After validating the model, relation between microstructure and the normal impact force against the wall was investigated, by comparing the variation of impact force values along the height of the wall for different tests. Microstructural heterogeneities were observed in the impacting and depositing stages of the flow, indicating the presence of arching effect in the granular medium behind the wall.