Analysis of peri-implant bone defects by using cone beam computed tomography (CBCT): an integrative review.

The objective of this work was to perform an integrative review of the inspection of peri-implant bone defects using cone beam computed tomography (CBCT). An electronic search was performed in the PubMed database using the following scientific terms: CBCT or Cone Beam computed tomography; dental implant; peri-implant; bone loss; defects. The survey identified 267 studies, of which 18 were considered relevant to this study. These studies provided important data taking into account the accuracy of cone beam computed tomography in the detection and measurement of peri-implant bone defects such as fenestrations, dehiscence and intraosseous circumferential defects. The effectiveness of CBCT in aiding in geometric bone calculations and in the diagnosis of peri-implant defects was influenced by factors such as artefacts, defect size, bone wall thickness, implant material, adjustment of acquisition parameters and observer experience. A not insignificant number of studies compared intraoral radiography to CBCT in the detection of peri-implant bone loss. CBCT was clearly superior to intraoral radiography in the detection of all peri-implant bone defects, except for defects located in the interproximal zone. In general, studies have shown that peri-implant bone measurements adjacent to the implant surface can be correctly determined, as well as the diagnosis of peri-implant bone defects with an average discrepancy of less than 1 mm from the actual measurement of the defect.

Innovative application of brackish groundwater without the addition of nutrients in the cultivation of Spirulina and Chlorella for carbohydrate and lipid production.

Brackish groundwater is promising for the cultivation of economically important microalgae; however, its effects have been evaluated only after nutrient supplementation. In this study, 100% brackish groundwater was evaluated as a culture medium for Spirulina sp. (BGWS) and Chlorella fusca (BGWC). In addition, the effects of supplementation with 25% of the nutrients from Zarrouk (BGWS25) and BG-11 (BGWC25) culture media were evaluated. BGWS and BGWC increased the concentration (68.1% w w-1) and productivity of carbohydrate (35.3 mg L-1 d-1) in Spirulina sp. and increased the concentration (56.4% w w-1) and productivity (13.5 mg L-1 d-1) of lipids in C. fusca biomass, when compared to that in the respective controls. The use of brackish groundwater as the sole culture medium is an innovative alternative for the economic production of biomass rich in carbohydrates and lipids. This has potential applications for biofuel production.

Spirulina sp. LEB 18 cultivation in seawater and reduced nutrients: Bioprocess strategy for increasing carbohydrates in biomass.

This study aimed to evaluate the growth and production of biomolecules by Spirulina sp. LEB 18 cultivated in seawater. The seawater was used without nutrient addition (SW0) and supplemented with 100% (SW100), 50% (SW50), and 25% (SW25) nitrogen, phosphorus, iron, and EDTA concentrations that make up the Zarrouk culture medium. When grown in SW0, Spirulina sp. LEB 18 showed maximum biomass concentration (2.17 g L-1) on the 11th d of cultivation and an increase in the carbohydrate content and productivity by 203% and 52%, respectively, when compared to the control culture. This cultivation strategy demonstrated the feasibility of using seawater as an alternative to freshwater in cultures as well as reduced nutritional requirements for biomass and carbohydrate production.

Bioprocess strategies for enhancing the outdoor production of Nannochloropsis gaditana: an evaluation of the effects of pH on culture performance in tubular photobioreactors.

A priority of the industrial applications of microalgae is the reduction of production costs while maximizing algae biomass productivity. The purpose of this study was to carry out a comprehensive evaluation of the effects of pH control on the production of Nannochloropsis gaditana in tubular photobioreactors under external conditions while considering the environmental, biological, and operational parameters of the process. Experiments were carried out in 3.0 m3 tubular photobioreactors under outdoor conditions. The pH values evaluated were 6.0, 7.0, 8.0, 9.0, and 10.0, which were controlled by injecting pure CO2 on-demand. The results have shown that the ideal pH for microalgal growth was 8.0, with higher values of biomass productivity (Pb) (0.16 g L-1 d-1), and CO2 use efficiency ([Formula: see text]) (74.6% w w-1); [Formula: see text]/biomass value obtained at this pH (2.42 [Formula: see text] gbiomass-1) was close to the theoretical value, indicating an adequate CO2 supply. At this pH, the system was more stable and required a lower number of CO2 injections than the other treatments. At pH 6.0, there was a decrease in the Pb and [Formula: see text]; cultures at pH 10.0 exhibited a lower Pb and photosynthetic efficiency as well. These results imply that controlling the pH at an optimum value allows higher CO2 conversions in biomass to be achieved and contributes to the reduction in costs of the microalgae production process.

Fed-batch cultivation with CO2 and monoethanolamine: Influence on Chlorella fusca LEB 111 cultivation, carbon biofixation and biomolecules production.

The aim of this study was to evaluate the interaction between the periodic addition of monoethanolamine (MEA) and CO2 during the cultivation of Chlorella fusca LEB 111. For this purpose, MEA has been added in abiotic assays, followed by fed-batch cultures with that green alga and the absorbent. BG-11 medium shown a higher potential of CO2 absorption with MEA addition, and the bicarbonate was the chemical species of carbon prevailing in the chemical equilibrium. The periodic addition of MEA did not reduce the kinetics of growth, promoted a higher accumulation of DIC (81.4 mg L-1) in the medium and protein (44.0% w w-1) and lipid (30.8% w w-1) concentrations in the biomass of C. fusca LEB 111. Therefore, it was demonstrated that fed-batch culture with MEA increased CO2 fixation and the biomolecule synthesis as proteins and lipids.

Innovative polyhydroxybutyrate production by Chlorella fusca grown with pentoses.

The current study aimed to evaluate if the addition of pentoses along with variations in light intensity and photoperiod can stimulate the production of polyhydroxybutyrate (PHB) and other biomolecules by Chlorella fusca LEB 111. The variables evaluated were the addition of xylose and arabinose as sources of organic carbon, different photoperiods (18 h, 12 h and 6 h light) and variations in light intensities (58, 28 and 9 µmolphotons m-2 s-1). The highest PHB accumulation (17.4% w w-1) and protein production (53.2% ww-1) were observed in assays with xylose addition and a photoperiod of 6 h of light provided at 28 and 58 µmolphotons m-2 s-1, respectively. The highest lipid content (24.7% w w-1) was obtained with 18 h of light. The current study contributes to the development of sustainable alternatives for the use of wastes and the production of biomolecules from algae.

Analysis of factors of production in the termination of feedlot lambs to pasture / Análise de fatores de produção na terminação de cordeiros em confinamento a pasto

The objective of this study was to analyze the factors that influence the performance of lambs in pasture confinement, by substituting a concentrate with different levels of the aerial part of cassava in relation to hematocrit indices. The experiment was conducted at the Sheep Technology Center using 56 Pantaneira sheep, of which 28 were male and 28 were female. For female lambs, the globular volume showed a decreasing quadratic effect, with a minimum inclusion of 10.24% PAM in the diet for a hematocrit index of 32.28. A linear effect was observed for the mean crude protein intake in the male lambs based on the diet provided and was estimated to be equivalent to 87.4% of the lambs' final weight. In conclusion, mean crude protein consumption is most strongly correlated with the final weight of male lambs, and NDF is most strongly correlated with the final weight of female lambs, with the level of cyanide consumption influencing the average daily weight gain in female lambs. The hematocrit level of the male lambs decreased with an increase in the inclusion of the aerial part of cassava in the ration of the animals.(AU)

O objetivo do presente trabalho foi analisar os fatores de influência no desempenho de cordeiros em confinamento a pasto, com níveis de substituição de concentrado por parte aérea de mandioca, e sua relação com os índices de hematócritos. O experimento foi conduzido no Centro de Tecnologia de Ovinos (CTO), utilizando-se 56 ovinos da raça Pantaneira, sendo 28 machos e 28 fêmeas. No volume globular do grupo de fêmeas, observou-se efeito quadrático decrescente, com o ponto de mínimo para uma inclusão de 10,24% de PAM na ração com índice de níveis de hematócritos de 32,28. O efeito linear observado para o consumo médio de PB no modelo para cordeiros machos, conforme a dieta fornecida, em função do peso final, foi estimada o equivalente a 87,4% da formação do peso final dos cordeiros. Conclui-se que o consumo médio de proteína bruta é o fator com maior correlação com o peso final dos cordeiros machos e para as fêmeas o fator com maior correlação foi FDN, os níveis de consumo de cianeto influenciaram no ganho de peso médio diário das fêmeas. O nível de hematócritos dos cordeiros machos foi reduzido com o aumento da inclusão da parte aérea da mandioca na ração dos animais.(AU)

Chlorella minutissima cultivation with CO2 and pentoses: Effects on kinetic and nutritional parameters.

CO2 emissions and the large quantity of lignocellulosic waste generated by industrialized nations constitute problems that may affect human health as well as the global economy. The objective of this work was to evaluate the effects of using CO2 and pentoses on the growth, protein profile, carbohydrate content and potential ethanol production by fermentation of Chlorella minutissima biomass. CO2 and pentose supplementation can induce changes in the microalgal protein profile. A biomass production of 1.84g.L-1 and a CO2 biofixation rate of 274.63mg.L-1.d-1 were obtained with the use of 20% (v.v-1) CO2. For cultures with 20% (v.v-1) CO2 and reduced nitrogen, the carbohydrate content was 52.3% (w.w-1), and theoretically, 33.9mL.100g-1 of ethanol can be produced. These results demonstrate that C. minutissima cultured with the combined use of CO2 and pentoses generates a biomass with high bioenergetic potential.

Thermal and photo-stability of the antioxidant potential of Spirulina platensis powder / Estabilidade térmica e fotoestabilidade do potencial antioxidante de Spirulina platensis em pó

Abstract This work aimed to evaluate the thermal and photo stability of the antioxidant potential (AP) of the Spirulina platensis biomass. Thermal stability was established at 25ºC, 40ºC and 50ºC for 60 days, in the dark, protected from light. Photo stability was evaluated using UV (15 W, λ = 265 nm) and fluorescent (20 W, 0.16 A, power factor FP > 0.5, 50/60 Hz, 60 lm/w, 1200 lm) light for 90 days in capsules, glass and Petri dishes, at room temperature. The AP of the biomass in these conditions was determined at intervals (every 7 and 30 days in the studies of thermal and photo stability, respectively) using the induction of the oxidation of a lipid system by heat and aeration. In this lipid system, the biomass submitted to degradation was used as an antioxidant. The kinetics of the reaction was determined by the Arrhenius method. Thermal degradation was found to follow zero order kinetics, whereas photo degradation followed first order kinetics. The AP decreased 50% after 50 days at 25°C. At 40°C and 50°C, the AP decreased more than 50% after 35 and 21 days of exposition, respectively. The decrease of the AP of Spirulina was more sensible to UV and fluorescence light. After 30 days of exposition, the AP decreased more than 50% in all storage conditions tested. The antioxidant potential of Spirulina platensis is easily degraded when the biomass is exposed to heat and light, indicating the need for care to be taken in its storage.

Resumo Este trabalho objetivou avaliar a estabilidade térmica e a foto-estabilidade do potencial antioxidante (PA) da biomassa da Spirulina platensis. A estabilidade térmica foi avaliada a 25ºC, 40ºC e 50ºC por 60 dias. A foto-estabilidade foi avaliada usando luz UV (15 W, λ = 265 nm) e fluorescente (20 W, 0.16 A, fator de potência FP > 0.5, 50/60 Hz, 60 lm/w, 1200 lm) por 90 dias em cápsulas, vidro e placas de Petri. O PA da biomassa nessas condições foi determinado em intervalos de tempo (a cada 7 e 30 dias nos estudos de estabilidade térmica e foto-estabilidade, respectivamente), usando a indução da oxidação de um sistema lipídico por calor e aeração. Neste sistema lipídico, a biomassa submetida à degradação foi usada como antioxidante. A cinética da reação foi determinada pelo método de Arrhenius. A degradação térmica seguiu uma cinética de zero ordem, enquanto que a fotodegradação seguiu uma cinética de primeira ordem. O PA diminuiu 50% depois de 50 dias a 25°C. A 40°C e 50°C, o PA diminuiu mais de 50% depois de 35 e 21 dias de exposição, respectivamente. A diminuição do PA da Spirulina foi mais sensível à luz UV e fluorescente. Depois de 30 dias de exposição, o PA diminuiu mais de 50% em todas as condições de armazenamento testadas. O potencial antioxidante da Spirulina platensis é facilmente diminuído quando a biomassa é exposta ao calor e a luz, indicando a necessidade de cuidados durante seu armazenamento.

Pentoses and light intensity increase the growth and carbohydrate production and alter the protein profile of Chlorella minutissima.

High concentrations of carbon, which is considered a necessary element, are required for microalgal growth. Therefore, the identification of alternative carbon sources available in large quantities is increasingly important. This study evaluated the effects of light variation and pentose addition on the carbohydrate content and protein profile of Chlorella minutissima grown in a raceway photobioreactor. The kinetic parameters, carbohydrate content, and protein profile of Chlorella minutissima and its theoretical potential for ethanol production were estimated. The highest cellular concentrations were obtained with a light intensity of 33.75µmol.m-2.s-1. Arabinose addition combined with a light intensity of 33.75µmol.m-2.s-1 increased the carbohydrate content by 53.8% and theoretically produced 39.1mL·100g-1 ethanol. All of the assays showed that a lower light availability altered the protein profile. The luminous intensity affects xylose and arabinose assimilation and augments the carbohydrate content in C. minutissima, making this microalga appropriate for bioethanol production.

Thermal and photo-stability of the antioxidant potential of Spirulina platensis powder.

This work aimed to evaluate the thermal and photo stability of the antioxidant potential (AP) of the Spirulina platensis biomass. Thermal stability was established at 25ºC, 40ºC and 50ºC for 60 days, in the dark, protected from light. Photo stability was evaluated using UV (15 W, λ = 265 nm) and fluorescent (20 W, 0.16 A, power factor FP > 0.5, 50/60 Hz, 60 lm/w, 1200 lm) light for 90 days in capsules, glass and Petri dishes, at room temperature. The AP of the biomass in these conditions was determined at intervals (every 7 and 30 days in the studies of thermal and photo stability, respectively) using the induction of the oxidation of a lipid system by heat and aeration. In this lipid system, the biomass submitted to degradation was used as an antioxidant. The kinetics of the reaction was determined by the Arrhenius method. Thermal degradation was found to follow zero order kinetics, whereas photo degradation followed first order kinetics. The AP decreased 50% after 50 days at 25°C. At 40°C and 50°C, the AP decreased more than 50% after 35 and 21 days of exposition, respectively. The decrease of the AP of Spirulina was more sensible to UV and fluorescence light. After 30 days of exposition, the AP decreased more than 50% in all storage conditions tested. The antioxidant potential of Spirulina platensis is easily degraded when the biomass is exposed to heat and light, indicating the need for care to be taken in its storage.

Nitrogen balancing and xylose addition enhances growth capacity and protein content in Chlorella minutissima cultures.

This study aimed to examine the metabolic changes in Chlorella minutissima cells grown under nitrogen-deficient conditions and with the addition of xylose. The cell density, maximum photochemical efficiency, and chlorophyll and lipid levels were measured. The expression of two photosynthetic proteins, ribulose-1,5-bisphosphate carboxylase/oxygenase (Rubisco) and the beta subunit (AtpB) of adenosine triphosphate synthase, were measured. Comparison of cells grown in medium with a 50% reduction in the nitrogen concentration versus the traditional medium solution revealed that the cells grown under nitrogen-deficient conditions exhibited an increased growth rate, higher maximum cell density (12.7×10(6)cellsmL(-1)), optimal PSII efficiency (0.69) and decreased lipid level (25.08%). This study has taken the first steps toward protein detection in Chlorella minutissima, and the results can be used to optimize the culturing of other microalgae.

Optimization of carbon dioxide supply in raceway reactors: Influence of carbon dioxide molar fraction and gas flow rate.

Influence of CO2 composition and gas flow rate to control pH in a pilot-scale raceway producing Scenedesmus sp. was studied. Light and temperature determined the biomass productivity whereas neither the CO2 molar fraction nor the gas flow rate used influenced it; because pH was always controlled and carbon limitation did not take place. The CO2 molar fraction and the gas flow rate influenced carbon loss in the system. At low CO2 molar fraction (2-6%) or gas flow rate (75-100l·min(-1)) the carbon efficiency in the sump was higher than 95%, 85% of the injected carbon being transformed into biomass. Conversely, at high CO2 molar fraction (14%) or gas flow rate (150l·min(-1)) the carbon efficiency in the sump was lower than 67%, 32% of the carbon being fixed as biomass. Analysis here reported allows the pH control to be optimized and production costs to be reduced by optimizing CO2 efficiency.

Extracellular Tau Oligomers Produce An Immediate Impairment of LTP and Memory.

Non-fibrillar soluble oligomeric forms of amyloid-ß peptide (oAß) and tau proteins are likely to play a major role in Alzheimer's disease (AD). The prevailing hypothesis on the disease etiopathogenesis is that oAß initiates tau pathology that slowly spreads throughout the medial temporal cortex and neocortices independently of Aß, eventually leading to memory loss. Here we show that a brief exposure to extracellular recombinant human tau oligomers (oTau), but not monomers, produces an impairment of long-term potentiation (LTP) and memory, independent of the presence of high oAß levels. The impairment is immediate as it raises as soon as 20 min after exposure to the oligomers. These effects are reproduced either by oTau extracted from AD human specimens, or naturally produced in mice overexpressing human tau. Finally, we found that oTau could also act in combination with oAß to produce these effects, as sub-toxic doses of the two peptides combined lead to LTP and memory impairment. These findings provide a novel view of the effects of tau and Aß on memory loss, offering new therapeutic opportunities in the therapy of AD and other neurodegenerative diseases associated with Aß and tau pathology.

Could the beneficial effects of dietary calcium on obesity and diabetes control be mediated by changes in intestinal microbiota and integrity?

Evidence from animal and human studies has associated gut microbiota, increased translocation of lipopolysaccharide (LPS) and reduced intestinal integrity (II) with the inflammatory state that occurs in obesity and type 2 diabetes mellitus (T2DM). Consumption of Ca may favour body weight reduction and glycaemic control, but its influence on II and gut microbiota is not well understood. Considering the impact of metabolic diseases on public health and the role of Ca on the pathophysiology of these diseases, this review critically discusses possible mechanisms by which high-Ca diets could affect gut microbiota and II. Published studies from 1993 to 2015 about this topic were searched and selected from Medline/PubMed, Scielo and Lilacs databases. High-Ca diets seem to favour the growth of lactobacilli, maintain II (especially in the colon), reduce translocation of LPS and regulate tight-junction gene expression. We conclude that dietary Ca might interfere with gut microbiota and II modulations and it can partly explain the effect of Ca on obesity and T2DM control. However, further research is required to define the supplementation period, the dose and the type of Ca supplement (milk or salt) required for more effective results. As Ca interacts with other components of the diet, these interactions must also be considered in future studies. We believe that more complex mechanisms involving extraintestinal disorders (hormones, cytokines and other biomarkers) also need to be studied.

Concordancia interobservador de la clasificación de Eaton-Littler de la artrosis trapeciometacarpiana / Inter-observer agreement on the Eaton-Littler classification of trapeziometacarpal joint osteoarthritis

Objetivo. Estudiar la concordancia de la clasificación radiográfica de Eaton-Littler para el diagnóstico de la artrosis de la articulación trapeciometacarpiana (ATM). La hipótesis nula consideró que la concordancia era debida al azar, y la alternativa que la concordancia no era debida al azar. Material y método. Se estudiaron las radiografías de 46 pacientes con síntomas y signos clínicos de artrosis de la ATM. Se clasificaron independientemente por 5 facultativos: tres expertos en extremidad superior, uno en radiodiagnóstico y un residente en COT de cuarto año. Se estudió la concordancia de las observaciones mediante el índice kappa global. Discusión. El diagnóstico de la artrosis de la ATM se basa fundamentalmente en la clínica, siendo la radiografía un método complementario de confirmación. La clasificación de Eaton-Littler propone 4 estadios evolutivos de la enfermedad, con una implicación terapéutica. Conclusiones. La concordancia de la clasificación radiográfica de Eaton-Littler es moderada (AU)

Objective. To study the concordance of the radiographic classification of Eaton-Littler for the diagnosis of basal thumb joint osteoarthritis (BTJO). The null hypothesis was that the concordance was due to chance and the alternative was that the concordance was not due to chance. Material and method. We have observed the x-rays of 46 patients with symptoms and clinical signs of BTJO. They were independently classified by five physicians: three experts in upper extremity, one in radiology and a fourth year resident of Orthopedics. We studied the concordance in the observations through the global Kappa. Discussion. The diagnosis of BTJO is based primarily on clinical exploration, radiology is a complementary method of confirmation. The classification of Eaton-Littler proposes 4 stages of the disease, with a therapeutic involvement. Conclusions. The concordance of the radiographic classification of Eaton-Littler is moderate (AU)

Recurrent Focal myositis: a rare inflammatory myopathy.

Focal myositis is an acute and localized muscle inflammation of unknown aetiology. The clinical diagnosis is often difficult to obtain, since it can be confused with infections, vascular thrombosis or muscle tumours such as sarcomas. This leads to a significant delay in the diagnosis, resulting in the administration of inappropriate and potentially harmful treatments.  We report here a case of recurrent focal myositis in a woman where the diagnosis was only obtained after 6 years, despite multiple hospital admissions. This case reinforces the importance of clinical knowledge and experience to tackle challenging medical scenarios.

[Inter-observer agreement on the Eaton-Littler classification of trapeziometacarpal joint osteoarthritis]. / Concordancia interobservador de la clasificación de Eaton-Littler de la artrosis trapeciometacarpiana.

OBJECTIVE: To study the concordance of the radiographic classification of Eaton-Littler for the diagnosis of basal thumb joint osteoarthritis (BTJO). The null hypothesis was that the concordance was due to chance and the alternative was that the concordance was not due to chance. MATERIAL AND METHOD: We have observed the x-rays of 46 patients with symptoms and clinical signs of BTJO. They were independently classified by five physicians: three experts in upper extremity, one in radiology and a fourth year resident of Orthopedics. We studied the concordance in the observations through the global Kappa. DISCUSSION: The diagnosis of BTJO is based primarily on clinical exploration, radiology is a complementary method of confirmation. The classification of Eaton-Littler proposes 4 stages of the disease, with a therapeutic involvement. CONCLUSIONS: The concordance of the radiographic classification of Eaton-Littler is moderate.

Portuguese recommendations for the diagnosis and management of gout.

OBJECTIVE: To develop Portuguese evidence-based recommendations for the Diagnosis and Management of Gout. METHODS: As part of the 3e Initiative (Evidence, Expertise and Exchange), a panel of 78 international rheumatologists developed 10 relevant clinical questions which were investigated with systematic literature reviews. MEDLINE, EMBASE, Cochrane CENTRAL and abstracts from 2010-2011 EULAR and ACR meetings were searched. Based on the evidence found in the published literature, rheumatologists from 14 countries developed national recommendations that were merged and voted into multinational recommendations. We present the Portuguese recommendations for the Diagnosis and Management of Gout which were formulated and voted by Delphi method in April 2012, in Lisbon. The level of agreement and potential impact in clinical practice was also assessed. RESULTS: Twelve national recommendations were elaborated from 10 international and 2 national questions. These recommendations addressed the diagnosis of gout; the treatment of acute flares and urate-lowering therapy; monitoring of gout and comorbidity screening; the influence of comorbidities in drug choice; lifestyle; flare prophylaxis; management of tophi and asymptomatic hyperuricaemia; the role of urine alkalinization; and the burden of gout. The level of agreement with the recommendations ranged from 6.8 to 9.0 (mean 7.7) on a 1-10 point visual analogue scale, in which 10 stands for full agreement. CONCLUSION: The 12 Portuguese recommendations for the Diagnosis and Management of Gout were formulated according to the best evidence and endorsed by a panel of 42 rheumatologists, enhancing their validity and practical use in daily clinical practice.

Catheter length preference in wheelchair-using men who perform routine clean intermittent catheterization.

STUDY DESIGN: Prospective, unblinded, multicenter, randomized, controlled, cross-over study assessing user preference and ease of use characteristics of two gel intermittent catheters in 81 self-catheterizing wheelchair-using men. OBJECTIVES: To evaluate the male user's preference between a 30-cm and a 40-cm intermittent catheter (Apogee Intermittent Catheter, Hollister Incorporated, Libertyville, IL, USA) regarding the ease of insertion and removal, ability to control the catheter during insertion, bladder emptying confidence and ease of draining urine into a receptacle or connecting to a urine bag. SETTING: Multiple institutions in the United States. METHODS: Subjects were randomized to order of catheter use, using both 10 test catheters (30-cm) and 10 control catheters (40 cm). All catheters were 12 or 14 French and identical in design and composition, except length. Safety was assessed during the entire study period regarding adverse events (AE) and adverse device events (ADE). Subjects evaluated their ease of use characteristics after each catheter use and final catheter preference. RESULTS: Subjects preferred the Apogee 40-cm intermittent catheter (91.4%) over the 30-cm length (8.6%). The preference was due to subject confidence of complete bladder emptying (70%), more satisfactory length (74%) and easier to drain into a receptacle (58%) with a portable urinal being the most utilized (37%), followed by toilet (35%). The only AE/ADE reported was minor urethral bleeding in one subject and minor pain in another subject, both with the 30-cm catheter. None were reported with the 40-cm catheter. CONCLUSIONS: The Apogee 40-cm catheter was the preferred intermittent catheter due to subject confidence in bladder emptying, ease of catheter manipulation and the ease of draining urine into a receptacle.