Treatment of Urethral Intercourse and Impact on Female Sexual Function.

BACKGROUND: Urethral intercourse is a very rare entity which usually presents as urinary incontinence during and after intercourse and is most commonly seen in patients with vaginal agenesis (Mayer-Rokitansky-Hauser Syndrome) or hypoplasia, or other rear vaginal anomalies. AIM: To evaluate management and outcomes for vaginal and urethral consequences of urethral intercourse, including urinary incontinence. METHODS: Between February 2006 and March 2021, 8 women aged from 17 to 22 years underwent genital and urethral reconstruction due to consequences of urethral sexual intercourse. Vaginal reconstruction included sigmoid vaginoplasty and introitoplasty with division of the vaginal septum in cases of vaginal agenesis (5 cases) and vaginal duplication (3 cases), respectively. Incontinence was treated by sling procedures in 5 women with longer history of urethral coitus and evident bladder neck prolapse. OUTCOMES: Sexual and psychosexual outcomes assessment was based on the Female Sexual Function Index and standardized questionnaires. RESULTS: Follow-up ranged from 9 to 188 months (mean 78 months). Good esthetical and functional results were achieved in all 8 women. All patients reported satisfactory sexual intercourse. All 5 incontinent women who had underwent sling procedure were continent. In one of 3 nontreated cases, additional sling treatment was indicated 6 months after vaginal reconstruction with satisfactory outcome. One patient with vaginal duplication reported a successful pregnancy with a Caesarean section delivery. CLINICAL IMPLICATIONS: Urinary incontinence with megalourethra in young women, along with the presence of Mullerian anomalies should raise suspicion of urethral coitus. Surgical treatment includes correction of vaginal anomalies and management of consequences. STRENGTHS AND LIMITATIONS: This study represents one of the largest series for urethral intercourse, with assessment of psychosexual outcome. The limitation is the lack of statistical analysis due to small sample size. CONCLUSION: Urethral intercourse is very rare, but it can cause severe consequences. It is important to recognize this occurrence and treat it by well-known vaginal or urethral reconstructive procedures. Djordjevic ML, Bizic M, Stojanovic B, et al. Treatment of Urethral Intercourse and Impact on Female Sexual Function. Sex Med 2022;10:100534.

Palaeosol control on groundwater flow and pollutant distribution: the example of arsenic.

The consumption of groundwater polluted by arsenic (As) has a severe and adverse effect on human health, particularly where, as happens in parts of SE Asia, groundwater is supplied largely from fluvial/deltaic aquifers. The lateral distribution of the As-pollution in such aquifers is heterogeneous. The cause of the heterogeneity is obscure. The location and severity of the As-pollution is therefore difficult to predict, despite the importance of such predictions to the protection of consumer health, aquifer remediation, and aquifer development. To explain the heterogeneity, we mapped As-pollution in groundwater using 659 wells across 102 km(2) of West Bengal, and logged 43 boreholes, to reveal that the distribution of As-pollution is governed by subsurface sedimentology. Across 47 km(2) of contiguous palaeo-interfluve, we found that the shallow aquifer (<70 mbgl) is unpolluted by As (<10 µg/L) because it is capped by an impermeable palaeosol of red clay (the last glacial maximum palaeosol, or LGMP, of ref 1 ) at depths between 16 and 24 mbgl. The LGMP protects the aquifer from vertical recharge that might carry As-rich water or dissolved organic matter that might drive reduction of sedimentary iron oxides and so release As to groundwater. In 55 km(2) of flanking palaeo-channels, the palaeosol is absent, so invasion of the aquifer by As and dissolved organic matter can occur, so palaeo-channel groundwater is mostly polluted by As (>50 µg/L). The role of palaeosols and, in particular, the LGMP, has been overlooked as a control on groundwater flow and pollutant movement in deltaic and coastal aquifers worldwide. Models of pollutant infiltration in such environments must include the appreciation that, where the LGMP (or other palaeosols) are present, recharge moves downward in palaeo-channel regions that are separated by palaeo-interfluvial regions where vertical recharge to underlying aquifers cannot occur and where horizontal flow occurs above the LGMP and any aquifer it caps.

Small-angle neutron scattering investigations on sintering behavior of combustion synthesized La0.8Sr0.2CrO3.

Pore morphology of La0.8Sr0.2CrO3 (LSC) powder compacts, sintered between 1200 degrees C and 1450 degrees C for a fixed time, has been characterized by small-angle neutron scattering (SANS) in the scattering wave vector 'q' range, 0.003-0.17 nm(-1) of a double crystal based instrument. Scattering profile of green compact exhibits fractal scaling at two regions of 'q' with magnitudes of fractal dimensionality 1.8 and 2.36. Scattering profiles of sintered pellets have been modeled assuming a random distribution of near spherical pores in the solid matrix. Estimated pore size distributions of sintered pellets indicate decrease in pore volume has taken place by progressive elimination of smallest pores and growth of relatively larger pores with increasing sintering temperature. SANS results are supplemented by light scattering measurement and TEM image of powder and SEM image of the fracture surface of sintered pellet.

Nanostructured La(Sr)CrO3 through gel combustion: sintering and electrical behavior.

Nanostructured La(Sr)CrO3 (LSC) powders was prepared through glycine-nitrate gel combustion process. It was shown for the first time that the use of relatively inexpensive CrO3 as a starting material for chromium has a potential for the bulk preparation of sinter-active LSC powder. As-prepared powder when calcined at 700 degrees C resulted in LSC along with a small amount of SrCrO4 as a secondary phase. The powder was found to be composed of soft agglomerates with a particle size of approximately 70-270 nm. The average agglomerate size was found to be 0.95 microm. The cold pressing and sintering of the LSC powder at 1450 degrees C resulted in mono-phasic La0.8Sr0.2CrO3 with 94% of its theoretical density. This is the lowest sintering temperature ever reported for La0.8Sr0.2CrO3. The conductivity of the sintered La0.8Sr0.2CrO3 at 1000 degrees C was found to be approximately 18 S cm(-1).

Nanocrystalline ceria powders through citrate-nitrate combustion.

Nanocrystalline ceria powders have been synthesized by combustion technique using citric acid as a fuel and nitrate as an oxidizer. The auto-ignition of the gels containing cerium nitrate and citric acid resulted in ceria powders. A theory based on adiabatic flame temperature for different citric acid-to-cerium nitrate molar ratios has been proposed to explain the nature of combustion reaction and its correlation with the powder characteristics. Specific surface area and primary particle size of the ceria powder obtained through fuel-deficient precursor was found to be approximately = 127 m2/g and 2.5-10 nm, respectively. The combustion synthesized ceria powder when cold pressed and sintered in air at 1250 degrees C for 1 hour resulted in approximately = 96% of its theoretical density with sub-micron grains.

Synthesis of nanocrystalline La(Ca)CrO3 through a novel gel combustion process and its characterization.

La(Ca)CrO3 (LCC) powders have been prepared through a novel gel combustion route using metal nitrates as oxidizers and ethylene diamine tetraacetic acid (EDTA) as a fuel. The process involves the combustion of a viscous gel obtained through mixed metal nitrate-EDTA solution. The effect of amount of EDTA used in the process on the nature of combustion reaction, phase formation, and densification has been studied. It was found that use of the fuel-rich precursor facile in controlling the reaction, which in turn helps in the scale up of the batch size. The calcination of the fuel-rich gel precursor at 650 degrees C resulted in the well-crystalline LCC along with a small amount of calcium chromate as a secondary phase. The HRSEM studies on the powder showed agglomerated nanoparticles. The average agglomerate size was found to be 0.54 microm. The cold pressing and sintering of the calcined powder at 1250 degrees C resulted in the mono-phasic La0.70Ca0.30CrO3 with 94% of its theoretical density. The sintered sample exhibited conductivity of 51 S/cm at 1000 degrees C. The average linear thermal expansion coefficient was found to be 10.3 x 10(-6) degrees C(-1).

Nanoscale petrographic and geochemical insights on the origin of the Palaeoproterozoic stromatolitic phosphorites from Aravalli Supergroup, India.

Stromatolites composed of apatite occur in post-Lomagundi-Jatuli successions (late Palaeoproterozoic) and suggest the emergence of novel types of biomineralization at that time. The microscopic and nanoscopic petrology of organic matter in stromatolitic phosphorites might provide insights into the suite of diagenetic processes that formed these types of stromatolites. Correlated geochemical micro-analyses of the organic matter could also yield molecular, elemental and isotopic compositions and thus insights into the role of specific micro-organisms among these communities. Here, we report on the occurrence of nanoscopic disseminated organic matter in the Palaeoproterozoic stromatolitic phosphorite from the Aravalli Supergroup of north-west India. Organic petrography by micro-Raman and Transmission Electron Microscopy demonstrates syngeneity of the organic matter. Total organic carbon contents of these stromatolitic phosphorite columns are between 0.05 and 3.0 wt% and have a large range of δ(13) Corg values with an average of -18.5‰ (1σ = 4.5‰). δ(15) N values of decarbonated rock powders are between -1.2 and +2.7‰. These isotopic compositions point to the important role of biological N2 -fixation and CO2 -fixation by the pentose phosphate pathway consistent with a population of cyanobacteria. Microscopic spheroidal grains of apatite (MSGA) occur in association with calcite microspar in microbial mats from stromatolite columns and with chert in the core of diagenetic apatite rosettes. Organic matter extracted from the stromatolitic phosphorites contains a range of molecular functional group (e.g. carboxylic acid, alcohol, and aliphatic hydrocarbons) as well as nitrile and nitro groups as determined from C- and N-XANES spectra. The presence of organic nitrogen was independently confirmed by a CN(-) peak detected by ToF-SIMS. Nanoscale petrography and geochemistry allow for a refinement of the formation model for the accretion and phototrophic growth of stromatolites. The original microbial biomass is inferred to have been dominated by cyanobacteria, which might be an important contributor of organic matter in shallow-marine phosphorites.

Signet ring cell carcinoma of ampulla of Vater in a young adult.

Signet ring cell carcinoma of the ampulla of Vater is extremely rare. The 7 cases reported earlier have been in older patients. We report a 32-year-old lady with this condition, who also had metastases in the bone marrow, vertebrae, lungs and liver.

Chronic pulmonary cryptococcosis in a Rattus rattus from Rabaul, Papua New Guinea.

A wild Rattus rattus trapped in Rabaul, East New Britain Province, Papua New Guinea, was noted to have chronic, cystic pulmonary cryptococcosis. R. rattus is common in settlements in Papua New Guinea whereas pigeons, which have been suspected as a possible source of human cryptococcosis, rarely nest in villages in this country. If R. rattus was susceptible to chronic pulmonary cryptococcosis, because of its habit of nesting in roofs, it could serve as a possible vector of human cryptococcosis in Papua New Guinea and perhaps in other countries as well.

Determination of copper at ng levels by in-line preconcentration and flow-injection analysis coupled with flame atomic-absorption spectrometry.

Oxine/formaldehyde/resorcinol and oxine/formaldehyde/hydroquinone resins have been synthesized and their physicochemical properties studied. Conditions were optimized for the preconcentration of copper by batch extraction and column chromatography with the resins. A flow-injection analysis (FIA) manifold was constructed for the determination of copper at ng levels by preconcentration on microcolumns containing the resins, stripping, and atomic-absorption spectrometry. For batch preconcentration a pH of about 2.5-3 was optimal whereas in the FIA system a broader pH range (approximately 2-3.5) could be used. Separations of binary mixtures of Cu(II) with Ni(II) or PB(II) at microg/ml level did not show any cross-contamination. In the FIA, a 2 cm long column and 2 ml/min flow-rate were adequate for quantitative uptake of copper; 50 micro1 of 0.1M hydrochloric acid quantitatively eluted the copper.

Determination of nanogram levels of zirconium by chelating ion exchange and on-line preconcentration in flow injection UV-visible spectrophotometry.

Trace quantities of zirconium were preconcentrated on a series of chelating resins. The experimental conditions for preconcentration such as pH, time and metal ion concentration were optimized for the batch processes. Continuous flow manifolds were developed for the on-line preconcentration of zirconium using microcolumns containing chelating resins. Calibration plots were obtained with correlation coefficients of 0.9990 +/- 0.0008. The determination of zirconium was performed using Xylenol Orange at 535 nm. Binary and ternary mixtures of zirconium, thorium and titanium did not show any cross-contamination during column chromatographic separation.

The pony as an animal model for vascular implants.

This study evaluated the pony as a potentially suitable model for vascular implant research. Healthy, conditioned ponies were randomly assigned to one of three groups: group I, carotid artery autografts (n = 6); group II, e-PTFE carotid interpositional grafts (n = 5); and group III, e-PTFE carotid interpositional grafts plus aspirin (10 mg/kg) and dipyridamole (3.5 mg/kg) drug administration. It was found that autografts remained patent longest (mean = 396.2 days; grafts were still patent at time of writing) followed by group III grafts (157.5 days), with group II grafts remaining patent for the shortest duration (61.1 days), (p less than 0.01). Patency was determined using two-dimensional real-time ultrasonography with Doppler velocimetry and/or arteriography. It was demonstrated that the pony's response to antithrombotic drugs was consistent and comparable to that in other animal models, both with respect to platelet function and affect on patency rate. The combination of the ease of surgical manipulation, drug administration, and platelet function testing, the comparable size of the pony and its heart and blood vessels to that of an adult human, the long life span of ponies, and the patency results of this study have demonstrated that the pony is a valuable animal model for vascular research.

Evaluation of the safety and efficacy of testicular biopsies in llamas.

Evaluation of the reproductive function of Lama glama is generally considered to be a challenging task due to the difficulty of obtaining representative semen samples. One method that has been proposed for evaluation of testicular function in these animals is histologic examination of testicular needle biopsies. This study was undertaken to examine the safety and efficacy of using needle biopsies to assess testicular function in this species. One randomly selected testicle from each of 16 sexually mature llamas was biopsied with a 14-gauge self-firing biopsy instrument. The llamas were evaluated over a 6-week period with thermography for temperature changes of the scrotum. At the end of the 6-week trial, the llamas were castrated and sections of each testis were fixed in Bouin's solution for histologic examination. Immediately prior to castration, an additional biopsy was taken from each testis to compare the tissue obtained via biopsy with sections from the corresponding testis obtained after castration. A qualitative grading scale was used to compare the seminiferous tubules from each testis. No difference was found between the biopsied and the nonbiopsied testes (P = 0.69). The percentage of normal tubules between the biopsied and the nonbiopsied sides also did not differ (P = 0.70). Furthermore, the percentage of normal seminiferous tubules did not differ between the needle biopsy samples and the corresponding tissue samples obtained at castration (P = 0.48). The number of round seminiferous tubules counted in each biopsy section ranged from 3 to 67. There was no significant difference in the thermographic images of the scrotum between the biopsied and the nonbiopsied testes. This study supports testicular biopsies as a safe and useful procedure in the evaluation of testicular function.

Blood flow to the corpus cavernosum penis in the bull and goat buck during penile quiescence.

Bulls and bucks were used to study the blood flow into and out of the corpus cavernosum penis (CCP) during the non-erect state of the penis. When contrast medium was injected into the dorsal artery of the penis in a bull cadaver and into surgically implanted catheters of anesthetized bucks, it flowed into the cavernous spaces of the CCP via the penetrating arteries. When contrast medium was injected directly into the CCP of the bull and buck there was no evidence of vascular exits along the body of the penis. The only venous outlets from the CCP were in the crus penis area. In the non-erect penis the vascular pressure within the CCP was 17.8 mm Hg higher in the bull and 8.3 mm Hg higher in the buck at the glans area than the crus area. During the non-erect state of the penis most of the blood flow to the CCP is from the dorsal artery of the penis via the penetrating arteries. The results showed that the pressure gradient provides the means for flow of blood from the glans area toward the base or crus penis area. This flow prevents platelet aggregation and clot formation and provides nutrition to local tissue during the long periods of non-erection.

Coccygeal muscle injury in English Pointers (limber tail).

A condition colloquially referred to as "limber tail" and "cold tail" is familiar to people working with hunting dogs, primarily Pointers and Labrador Retrievers. The typical case consists of an adult dog that suddenly develops a flaccid tail. The tail either hangs down from the tail base or is held out horizontally for several inches from the tail base and then hangs straight down or at some degree below horizontal. Initially, the hair on the dorsal aspect of the proximal tail may be raised and dogs may resent palpation of the area 3-4 inches (8-10 cm) from the tail base. Most dogs recover spontaneously within a few days to weeks. Anecdotal reports suggest that anti-inflammatory drugs administered within 24 hours after onset hasten recovery. Less than one half of affected dogs experience a recurrence. Affected Pointers almost always have a history of prolonged cage transport, a hard workout the previous day, or exposure to cold or wet weather Most owners and trainers familiar with the condition do not seek veterinary assistance. In cases where people are not familiar with this disease, other conditions such as a fracture, spinal cord disease, impacted anal glands, or prostatic disease have been incorrectly diagnosed. We examined 4 affected Pointers and found evidence of coccygeal muscle damage, which included mild elevation of creatine kinase early after onset of clinical signs, needle electromyographic examination showing abnormal spontaneous discharges restricted to the coccygeal muscles several days after onset, and histopathologic evidence of muscle fiber damage. Specific muscle groups, namely the laterally positioned intertransversarius ventralis caudalis muscles, were affected most severely. Abnormal findings on thermography and scintigraphy further supported the diagnosis.

Fluctuation of trace elements during methylmercury toxication and chelation therapy.

The aim of the present investigation was to check the fluctuation in essential elements, such as Na, K, Mg, Mn, Cu, Zn, Cr and Ni in the brain, spinal cord, liver and kidney of mice during methylmercury chloride (MMC) toxication and therapy with monothiols (N-acetyl-DL-homocysteine thiolactone and glutathione) and vitamins (vitamin B complex and E). Mercury deposition and its elimination during chelation therapy were also screened for comparative purposes. The animals were dosed for 7 days with MMC 1 mg/kg/d and some were then kept without treatment for a further. 7 days. Other MMC-treated animals were immediately given one of the above antidotes for 7 days. All the animals were sacrificed on the 15th day. There was a decrease in all elements during MMC toxication with few exceptions, for example, copper was increased in the liver as was sodium in the kidney. Treatment with the thiols and vitamins restored the levels of these elements in certain tissues towards normal, but their concentrations remained abnormal in most instances. The fluctuations in the concentration of these elements were attributed to their association with various macromolecules.

Thermography in the diagnosis of inflammatory processes in the horse.

To evaluate the use of thermography in equine medicine, a three-phase study was conducted. In the first phase, six horses were examined thermographically, before and after exercise, to determine a normal thermal pattern. In the second phase, nine horses with acute and chronic inflammatory processes were examined thermographically. In the third phase, thermography was used to evaluate the effectiveness of anti-inflammatory drugs on chemically induced inflammatory reactions. All normal horses tested had similar infrared emission patterns. There was a high degree of symmetry between right and left and between front (dorsal) to rear (palmar, plantar) in the legs distal to the carpus and the tarsus. The warmer areas of the thermogram tended to follow major vascular structures. The coronary band was the warmest area of the leg. Heat increase due to exercise did not substantially alter the normal thermographic pattern. Use of thermography in clinical cases successfully detected a subluxation of the third lumbar vertebra, a subsolar abscess, alveolar periostitis and abscess, laminitis, serous arthritis of the femoropatellar joint, and tendonitis. Thermography was effective in quantitative and qualitative evaluation of anti-inflammatory compounds in the treatment of chemically induced inflammation.

Thermographic diagnosis of Horner's syndrome in the horse.

Lateral and frontal thermographic patterns of the head of normal horses before and after exercise were characterized to aid the diagnosis of diseases of the head. Surgical induction of Horner's syndrome was done in four horses by isolation and transection of the vagosympathetic trunk. One clinical case and the surgically induced cases of Horner's syndrome were evaluated clinically. Thermographic findings of the clinical case were similar to the experimental cases.

Effects of xylazine and ketamine hydrochloride on the electroencephalogram and the electrocardiogram in the horse.

A continuous series of electroencephalograms (EEG) was obtained from each of 6 mature horses which had been given xylazine and ketamine hydrochloride IV. Electrocardiograms and respiratory rates were also obtained. The EEG of the unsedated standing adult horse displayed a dominant fast activity in the range of 25-35 Hz, 5-30 microV superimposed over slower 1-4 Hz, 10-50 microV activity with occasional 10-14 Hz, 10-40 microV spindle-type activity. The xylazine-sedated horse displayed hypersynchronous EEG patterns, with the dominant activity being 1-3 Hz, 10-70 microV with overlying mixed frequencies of 5-10 Hz, 10-40 microV and 10-14 Hz, 10-40 microV spindle-type activity. Some 25-35 Hz, 5-10 microV activity was present in 5 of the 6 horses. Ketamine administration 3 minutes after xylazine injection caused an increase in high-voltage slow activity. The dominant frequency was 1-3 Hz, 20-100 microV, with superimposed mixed irregular frequencies of 6-10 Hz, 10-50 microV and 10-14 Hz, 10-40 microV spindle-type activity. All horses developed some degree of second-degree atrioventricular (AV) heart block approximately 23 s after xylazine was injected. The second-degree AV heart block disappeared approximately 1 minute and 30 s after ketamine was injected in 4 of the 6 horses. The remaining 2 had second-degree AV heart block throughout the recording period (15 to 18 minutes). Respiration rates were depressed after xylazine was given and became irregular and apneustic after ketamine injection. The cyclic rate of respiration varied from 19 to 30 breaths/minute. Xylazine depressed heart rates from 13% to 41% (mean 29.3%). Heart rates became faster or remained unchanged after ketamine was administered.

Pharmacokinetics of gentamicin in the horse.

The pharmacokinetics of gentamicin were studied in six healthy mature horses of mixed breeding and of both sexes. A parenteral preparation of gentamicin sulfate (5% aqueous solution) was administered rapidly (IV) at the dosage level of 5 mg/kg of body weight. Venous blood samples were taken at 0 (base line), 0.083, 0.25, 0.5, 0.75, 1, 2, 4, 8, 12, 24, 36, 48, 72, 96, and 120 hours after gentamicin administration. Serum gentamicin was measured by a radioimmunoassay technique. The gentamicin concentration data was fitted to a one- and two-compartment open model with first-order elimination from the central compartment with the aid of nonlinear least squares program. The data were found to be best described by the two-compartment model with r2 = 0.997. Half-life, as determined from the terminal phase was 2.54 +/- 0.33 hours. Calculation of the total body clearance provided a mean of 1.16 +/- 0.11 ml/minute/kg of body weight (1.04 to 1.31 ml/minute/kg, range); the volume of distribution calculated from the area under the curve was determined separately for each animal and had a mean value of 0.254 +/- 0.036 L/kg. The initial exponential decline (alpha) in gentamicin serum concentration had an average value of 3.75 +/- 1.86 hours-1, whereas the terminal values were described by beta = 0.275 +/- 0.036 hours-1. Other pharmacokinetic values determined also are presented.