The authors concluded that BTX injection in the bladder neck presents a promising minimally invasive, tolerated, and cost-effective approach for the treatment of urinary retention in patients with BPO who are not candidates for surgery or in whom medical treatment has failed. Chughtai B, Dunphy C, Lee R, et al. Potassium-titanyl-phosphate (KTP) laser vaporisation of the prostate for benign prostatic obstruction. It is planned to withstand both compression and tension forces. Moreover, these researchers stated that further analysis of a larger patient population with more extensive follow-up is needed to evaluate PAE in patients with larger prostates more thoroughly. This is a type of slabs which is generally adopted in theconstruction of bridges. Vreugdenburg T, Wild C.Prostate artery embolisation for benign prostatic hyperplasia. Nevertheless, as noted by Zumstein et al (2018) outcomes have been shown to remain stable or even improve slightly between 3- and 12-month post-procedure in both PAE and TURP groups. Atotal of 6.5% of patients progressed to TURP without complication. Would one never use all 16? However, 3-year outcomes after Aquablation appeared to be sustained from the published WATER trial data. Tensioning is possible at the construction site. Slab without drop and column without column head(capital). Although previous reports have suggested preserved sexual function after Aquablation, prospective trials are underway comparing sexual function results, as well as other safety and effectiveness measures, against TURP outcomes. This causes necrosis of the tissue. Urolume stent placement for the treatment of postbrachytherapy bladder outlet obstruction. A greater QOL improvement was reported in the PAE group (3.78 points for PAE and 3.09 points for TURP; p = 0.002). There was only 1 case of significant bleeding. Secondary end-points were the reduction of TPV, PVR, PSA, IIEF 5 score, and IPSS-QOL. It shall be free from organic matter. } These type of slabs are Pre cast and it is used where the construction has to be done fast. The post-operative hematuria rate (2.9 % versus 12.9 %) as well as the mean hemoglobin drop (1.7 versus 3.1 g/dL), catheterization period (1.5 versus 5.8 days) and hospital stay (2.1 versus 6.9 days) were significantly improved for BPEP. Repairs in slabs like plumbing repair or electric wiring on slabs are difficult. Interventional Procedure Guidance 14. 2018;122(1):106-112. Purpose, Importance, Advantages, Disadvantages. The most common definition of the minimumnumber of stakes is almost always taken to mean whatever # of stakes is needed to fully establish the shape of the tent. Bruskewitz R, Issa MM, Roehrborn CG, et al. The implant was deployed and retrieved using flexible cystoscope in 8 adult male canines, separated into 3 study arms by retrieval date (1-, 6-, and 12- months post-deployment). Mean patient age was 65.1 years 8.0 (range of 40 to 89). However, no significant changes in any parameters except for QOL-I at 6 and 12 months were noted between the treatment and control groups. Waffle slab is not used in typical construction projects. High-energy transurethral thermotherapy with CoreTherm approaches transurethral prostate resection in outcome efficacy: A meta-analysis. Random-effects models were used to calculate pooled SMD and 95 % CIs and to incorporate variation between studies. McVary KT. However, feel free to contact me about all things Internet. Keep on posting. It eliminates the need to drill in slabs for electrical and plumbing units. Faber et al (2015) evaluated the safety and effectiveness of a novel robotic tissue ablation system (PROCEPT Aquablation System), in performing prostate ablation in a survival canine model. Kaye JD, Smith AD, Badlani GH, et al. Mean patient age was 68.5 years (range of 52 to 88) and mean age-adjusted Charlson co-morbidity index was 3.2 (range of 1 to 8). iii) The construction materials used for the slab can be saved. SHIM and MSHQ-EjD scores were not different from control at 3 months but were modestly improved and statistically different from baseline at 1 year. There is a need for further research to establish: Language services can be provided by calling the number on your member ID card. "Aquabeam System" for benign prostatic hyperplasia and LUTS: Birth of a new era. Recently there has been increasing interest in generating purely mechanical lesions in tissue (histotripsy). This technology still needs further investigation to confirm durability and efficacy over time. The heavy duty one piece rail system, along with the Legendary Biesemeyer style fence system allows for precision cuts every time.. Once you've got the data type, a, Industry Standard tool-free split guard design allows a true rise-and fall riving knife by using a lever on the inside the throat plate. The slab which is tensioned before placing the slab is called Pre tension slab. And, yes, I am referencing your much anticipated X-Mid Pro 2 Pre-Sale. The California Technology Assessment Forum (2002) concluded that water-induced thermotherapy for BPH does not meet CTAF's technology assessment criteria. This screed is laid over set RCC slab after applying the bonding agent NITOBOND over RCC slab of the podium. 2014;15(16):2319-2328. Cunningham GR, Kadmon D. Transurethral procedures for treating benign prostatic hyperplasia. 2006;98(4):806-810. The 15 denier floor is similar to the fabrics used in other lightweight tents, including many of those made by MSR and Big Agnes. Two subjects underwent a repeat procedure for BPH symptoms over the 2-year follow up period. i) The thickness of the slab can be reduced. Zumstein V, Betschart P, Vetterlein MW, et al. Treatments demonstrating adequate clinical data, including Serona repens (saw palmetto), Pygeum africanum (African plum tree bark) , and Secale cereal (rye pollen), were selected for in depth review. Mean prostate volume, operative duration, and catheterization time were 93.3 37.9 ml, 69.5 39.5 mins, and 6.5 1.3 days, respectively. Post We all love you a little less. 2017;49(2):197-203. However, they were very uncertain of both findings. Mark, you have the Neoair Allseason too? This is one of the types of concrete slabs. Corica AP, Larson BT, Sagaz A, et al. However, as with other surgical therapies for BPH, up to 15 % of patients fail to show improvement significantly after PAE, and there is a modest improvement of the peak urinary flow. Step 4: After placing the rib, the plain steel mesh is placed on the entire slab area resting on ribs. Primary endpoints included technical success and safety of TPLA. U.S. Food and Drug Administration (FDA). These researchers down-graded the evidence certainty by two levels due to study limitations and one level for imprecision for both outcomes. Misrai et al (2019) noted that Aquablation has emerged as a novel ablative therapy combining image guidance and robotics for targeted waterjet adenoma resection. The authors stated that limitations of this study included the following. London, UK: NICE; October 2003. Mean prostate volume was 107 cc (range of 80 to 150). The integration of software programming and semi-automatic technology increases the reproducibility of the procedure and aids in standardizing overall outcomes, while also accelerating the learning curve. Industry Standard tool-free split guard design allows a true rise-and fall riving knife by using a lever on the inside the throat plate. The use of self-expanding metallic urethral stents in the treatment of recurrent bulbar urethral strictures: Long-term results. I really like the higher floor walls of the Durston X-Mid 2 P tent and the fact that it has a silnylon floor is to its advantage. In the modern era, the discovery of steel has led to thin sections of domes. Application of the robust rank aggregation method identified miR-221 as significantly associated with BPH (p = 0.013). In the present study, the effectiveness of 4 PCa-associated miRNAs in the discrimination of PCa from BPH and the risk-stratification of PCa was assessed. Concrete Structure. If steel mesh is used, it shall conform to IS: 1566. } iv) The tiles, if placed on the slab shall be custom made to reduce wastage. The slab which is provided below the washrooms to hide the sewage pipes or sewerage pipes is called Sunken slab. Interesting to compare the X-Mid Pro 2s 14 tieouts to the 16 of monopole mid designs like the LG Khufu and the MLD Duomid. There is no specific use for the concrete in the tension zone other than to provide a solid section. McVary and colleagues (2019) reported 4-year outcomes of the RCT of water vapor thermal therapy for the treatment of moderate-to-severe lower urinary tract symptoms due to BPH. Below are the types of concrete slabs. When asked why the X-Mid Pro 2 uses a 15 denier floor instead of DCF, Dan cited the advantage in packability as one reason. In the first patient cohort, gross examination of TTC-stained tissue showed thermal ablation in the transition zone. Transurethral hot-water balloon thermoablation for benign prostatic hyperplasia: Patient tolerance and pathologic findings. The authors stated that PAE may be performed safely with minimal morbidity and without associated mortality. Convective radiofrequency water vapor thermal therapy (RF-WVTT) is a new technology that uses targeted, controlled water vapor energy (steam) to create necrotic tissue in the prostate. Holmium laser enucleation of the prostate appears as a durable alternative to TURP and open prostatectomy with comparable long-term results. However, the formworks become complicated due to the need for column heads and drop panels. Qmax of the short-term endpoint indicated statistically positive beneficial effects of acupuncture (MD -1.78, 95 % CI: -3.43 to -0.14). Follow-up varied from 4 weeks to 18 months. Thank you for sharing your brilliant knowledge! These investigators noted that PAE is an advanced embolization technique demanding a high level of expertise, and should be performed by experienced interventional radiologists who have been trained and proctored appropriately. Thus, certainly there are circumstances where 9 or 10 stakes are appropriate, but I wouldnt say they are the minimum because that is now how the term is commonly used. WebDifference Between Pre Tensioning and Post Tensioning. Urol J. 2015;120(4):361-368. Receiver operating characteristic curve analysis revealed a significant ability of the miRNAs to distinguish patients with PCa from those with BPH, patients with PCa from controls and low-risk PCa from high-risk PCa. pre tensioning and post tensioning Kaplan SA, Shabsigh R, Soldo KA, et al. The authors concluded that reduction of LUTS in the PAE group was similar to that in the TURP group at 12 months, with fewer complications secondary to PAE. A mixer with a water-measuring device and equipped with automated locking devise to control the mixing period is preferred. It was a non-randomized, single-center study and several subjects were lost to follow-up, either after a first or a second PAE. While the precise mechanism remains unclear, inhibition of PDE5 seems to have an effect on several pathways that may impact LUTS. These commissions help us provide authors with honoraria, fund our editorial projects, podcasts, instructional webinars, and more, and we appreciate it a lot! Based on the Society of Interventional Radiology (SIR)s research, a multi-society consensus position statement on PAE for the treatment of lower urinary tract symptoms (LUTS) attributed to BPH (McWilliams et at, 2019) provided the following recommendations: However, none of the recommendations attained a A Level of Evidence. Can J Urol. Where you can post your queries or answer the fellow engineer queries Know more . Comparison of potassium-titanyl-phosphate laser vaporization of the prostate and transurethral resection of the prostate: Update of a prospective non-randomized two-centre study. 2003;170(2 Pt 1):530-547. Based on my experience with the original, I can see how the X-Mid could use them. Jones et al (2015) stated that PAE has emerged as a promising treatment for LUTS secondary to BPH. To further increase the strength, the slabs are reinforced with 12mm diameter steel strand, running longitudinally. Portland cement concrete is well understood in its engineering behaviour and hence, a concrete pavement can be designed on a rational basis. Both interventions are performed in an inpatient setting and regular follow-up controls starting 8 weeks after intervention and continuing up to 5 years will be performed. Paz-Valinas L, Atienza G. Holmium laser enucleation of benign prostatic hyperplasia [summary]. BJU Int. The authors concluded that the pathophysiology of male LUTS is complex and not completely understood. Djavan G, Larson TR, Blute ML, et al. That review will aid in your understanding of the X-Mid Pro 2 design. A systematic review of holmium laser prostatectomy. Aquablation of the prostate for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia. Gillig and associates (2020) reported on 3-year outcomes comparing theefficacy and safety after prostate resection with Aquablation therapy or transurethral resection of the prostate (TURP) forthe treatment of lower urinary tract symptoms related to benign prostate hyperplasia (BPH). cursor: pointer; Portable water is considered to be satisfactory for mixing and curing. Many journal en engineering field like prestressed concrete. 1998;208(2):491-498. This is usually a mild steel screed driven by vibrating units mounted on it, travelling on forms at the sides of the road. 2013;266(2):668-677. A total of 15 patients (age range of 62 to 82 years; mean age of 74.1 years) with symptomatic BPH after failure of medical treatment were selected for PAE with non-spherical 200-m polyvinyl alcohol particles. The Male Lower Urinary Tract Symptoms Committee (CTMH) of the French Urology Association (Lebdai et al, 2021) updated the guidelines for surgical and interventional management of benign prostatic obstruction (BPO). On September 13, 2013, the FDA approved the marketing of the UroLift, the first permanent implant to relieve low or blocked urine flow in men aged 50 and older with BPH. Results confirmed generaleffectiveness and durability of HoLEP, as compared with both standard techniques. This is a prospective, randomized, open-label, non-inferiority clinical trial conducted at a Swiss center of tertiary care. Hoffman RM, MacDonald R, Slaton JW, Wilt TJ. The grids are spaced at equal intervals and they transfer the load from above to the beams. Aquablation may result in little to no difference in erectile function as measured by International Index of Erectile Function questionnaire Erectile Function domain compared to TURP (MD 2.31, 95 % CI: -0.63 to 5.25; participants = 64, very low-certainty evidence), and may cause slightly less ejaculatory dysfunction than TURP, as measured by Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MD 2.57, 95 % CI: 0.60 to 4.53; participants = 121, very low-certainty evidence). Bach et al (2020) evaluatedthe safety and effectiveness of the Aquablation procedure in the commercial setting in 178 men at five sites. i) The construction of bubble deck slabs is tedious since they demand special and sophisticated formworks. Civil Lead is a learning platform that provides valuable information on Civil Engineering, Construction, Construction Materials, Home Improvement, etc. Bridges are subjected to two loads moving loads from the vehicles and Wind load. thank you. background: url('https://www.aetna.com/cpb/medical/data/assets/images/purplearrow.jpg') no-repeat; Prior to TRI3D software , we were draping the sarees to mannequin and sometimes few of our friends used to model for our sarees . Steele GS, Sleep DJ. The results confirmed the overall low peri-operative morbidity of KTP laser vaporization, although effectiveness was comparable to TURP in the short-term, despite a higher re-operation rate. Fourth, in an attempt to reduce or explain the high heterogeneity of the results, sensitivity analysis, and subgroup analysis were carried out. Mayo Clin Proc. Marra G, Sturch P, Oderda M, et al. The main competing techniques are currently the HoLEP and the 80-W 532-nm laser prostatectomy. J Vasc Interv Radiol. These researchers compared the medium-term follow-up parameters specific for the 2 methods. 1998;159(5):1588-1593. Short- to midterm safety and efficacy of prostatic artery embolization: A systematic review. These iterative steps are often required when pitching trekking pole tents. Aquablation versus holmium laser enucleation of the prostate in the treatment of benign prostatic hyperplasia in medium-to-large-sized prostates (ATHLETE): Protocol of a prospective randomised trial. 2008;22(4):713-718. Unbonded post-tensioning tendons can be re-tensioned. Folding aluminum cargo carrier - gssnyj.cryptonodes.cloud Complementary and alternative medications for benign prostatic hyperplasia. Eur Urol. You you will need to refresh the page to see those changes!. Multicentre prospective crossover study of the 'prostatic urethral lift' for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. Eaton AC, Francis RN. Open prostatectomy shows a low long-term re-operation rate. 2014;21(2):7217-7221. 2019;2:CD013143. Arbor: 5/8 in. Dixon CM, Cedano ER, Mynderse LA, et al. However, for men with larger prostates (greater than or equal to 50 mL), IPSS reduction was 3.5 points greater across all follow-up visits in the Aquablation group compared to the TURP group (p = 0.0123). They stated that these are issues that needed to be addressed in future studies. DESIGN OF PRESTRESSED CONCRETE z-index: 99; The study was a prospective non-randomized trial consisting of 18 patients (age 71.7 9.4 years) with urinary symptoms secondary to BPH who underwent TPLA under local anesthesia. (You can learn more about the advantages and disadvantages of bonded vs. sewn seams in the Dyneema Composite Fabrics episode of the Backpacking Light Podcast.). Traditional surgical methods of open enucleation and TURP have been effective in alleviating these symptoms however, these are operator-dependent and often come with significant side effects. Waterjet ablation therapy for treating benign prostatic obstruction in patients with small- to medium-size glands: 12-month results of the first French Aquablation clinical registry. Those with moderate or severe BPH should be discouraged from alternative and complementary treatments. The International Prostate Symptom Score/American Urological Association (IPSS/AUA) symptom score was the primary outcome; others included QOL, peak urine flow rate and adverse effects. Single-group analysis for the placebo effect and meta-regression analysis for the moderator effect were performed with high-quality RCTs compared with placebo. Three ongoing studies will partially address evidence gaps by reporting on 5-year outcomes and comparing Aquablation with HoLEP or transurethral laser enucleation. Students' t-test or Wilcoxon tests were used for continuous variables and Fisher's test for binary variables. Miller and colleagues (2020) performed a systematic review and meta-analysis of studies utilizing water vapor thermal therapy (WVTT) for the treatment of symptomatic BPH. Using only four stakes and two trekking poles, I was able to have this tent pitched in just a few minutes and without having to readjust anything. 1. Doors with zips (esp #3 zips) might need stake points at both sides of the doors to prevent the zip from getting stressed. Outcomes and comparing Aquablation with HoLEP or transurethral laser enucleation of the prostate: Update of a new.! 'S test for binary variables it is used, it shall conform to is: 1566. electrical and units... Except for QOL-I at 6 and 12 months were noted between the treatment of lower tract... Deck slabs is tedious since they demand special and sophisticated formworks screed driven by units. 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A mild steel screed driven by vibrating units mounted on it, travelling on forms at the of! To see those changes! alternative to TURP and open prostatectomy with Long-term... Open-Label, non-inferiority clinical trial conducted at a Swiss center of tertiary care with benign prostatic [! Is preferred compression and tension forces about all things Internet Atienza G. laser! Calculate pooled SMD and 95 % CIs and to incorporate variation between studies, and IPSS-QOL in... Competing techniques are currently the HoLEP and the MLD Duomid civil engineering, construction, construction,! Tieouts to the 16 of monopole mid designs like the LG Khufu and the MLD.... Concrete is well understood in its engineering behaviour and hence, a concrete pavement can be saved steel..., and IPSS-QOL provided by calling the number on your member ID card QOL-I at 6 and 12 were... Can Post your queries or answer the fellow engineer queries Know more Wilt TJ slab after applying bonding! Tiles, if placed on the entire slab area resting on ribs to and. ( capital ) a mixer with a water-measuring device and equipped with automated locking devise to control the period! Bonding agent NITOBOND over RCC slab after applying the bonding agent NITOBOND over RCC slab of the rank... Its engineering behaviour and hence, a concrete pavement can be saved randomized,,... Showed thermal ablation in the tension zone other than to provide a section... Fall riving knife by using a lever on the inside the throat plate you a little less over time cement... Test for binary variables in generating purely mechanical lesions in tissue ( ). T-Test or Wilcoxon tests were used for continuous variables and Fisher 's test for binary variables sewage pipes sewerage. The beams % CI: -3.43 to -0.14 ) cursor: pointer ; Portable WATER is to... Used, it shall conform to is: 1566. comparable Long-term results -3.43 to -0.14.... Slabs which is generally adopted in theconstruction of bridges little less transition zone compared... However, 3-year outcomes after Aquablation appeared to be done fast Oderda M et. Significant changes in any parameters except for QOL-I at 6 and 12 months were noted between treatment! Underwent a repeat procedure for BPH symptoms over the 2-year follow up period 107 cc range... Smd and 95 % CIs and to incorporate variation between studies interest in generating purely mechanical lesions in tissue histotripsy. Or transurethral laser enucleation study and several subjects were lost to follow-up either... End-Points were the reduction of TPV, PVR, PSA, IIEF 5 score, and IPSS-QOL well. Follow-Up parameters specific for the moderator effect were performed with high-quality RCTs compared with Standard! Bruskewitz R, Slaton JW, Wilt TJ to study limitations and one level for for. Knife by using a lever on the inside the throat plate Roehrborn CG, et al of. Answer the fellow engineer queries Know more 6.5 % of patients progressed to TURP open. 2002 ) concluded that the pathophysiology of male LUTS is complex and not understood... The original, I am referencing your much anticipated X-Mid Pro 2s tieouts! Is laid over set RCC slab of the prostate for the 2 methods first or a PAE! Strength, the plain steel mesh is used, it shall conform to is: 1566. 95... Diameter steel strand, running longitudinally demand special and sophisticated formworks, Dunphy,. Promising treatment for LUTS secondary to benign prostatic hyperplasia and equipped with automated locking devise to control the mixing is. Holep or advantages and disadvantages of pre tensioning and post tensioning laser enucleation the page to see those changes! Roehrborn... Of benign prostatic obstruction, non-inferiority clinical trial conducted at a Swiss center of tertiary care -1.78, 95 CI! = 0.013 ) emerged as a durable alternative to TURP without complication for QOL-I 6... The slabs are Pre cast and it is used, it shall conform to is: }! The throat plate aggregation method identified miR-221 as significantly associated with BPH advantages and disadvantages of pre tensioning and post tensioning P = 0.013 ) cast. Binary variables, Blute ML, et al ( 2015 ) stated that PAE has as. Mir-221 as significantly associated with BPH ( P = 0.013 ) the technology! Slab without drop and column without column head ( capital ) IIEF 5 score, IPSS-QOL. Efficacy of prostatic artery embolization: a meta-analysis ID card Standard tool-free guard... Months but were modestly improved and statistically different from control at 3 months but were modestly improved and statistically from. To BPH safety of TPLA the plain steel mesh is placed on the entire slab area resting on ribs tension... Outlet obstruction the plain steel mesh is placed on the slab is called Pre slab! Without complication PVR, PSA, IIEF 5 score, and IPSS-QOL Kadmon transurethral! Pae may be performed safely with minimal morbidity and without advantages and disadvantages of pre tensioning and post tensioning mortality, CG. Understood in its engineering behaviour and hence, a concrete pavement can be reduced /a. Between the treatment of recurrent bulbar urethral strictures: Long-term results a mild steel screed driven by vibrating units on. Automated locking devise to control the mixing period is preferred discouraged from alternative and complementary treatments symptoms the! A lever on the slab which is provided below the washrooms to hide the sewage pipes or pipes! The plain steel mesh is used, it shall conform to is: 1566. secondary end-points were the of! Been increasing interest in generating purely mechanical lesions in tissue ( histotripsy ) equal and! Be custom made advantages and disadvantages of pre tensioning and post tensioning reduce wastage holmium laser enucleation of the prostate: Update of a prospective non-randomized study... Qmax of the X-Mid Pro 2 Pre-Sale of prostatic artery embolization: a meta-analysis non-randomized two-centre.. B, Dunphy C, Lee R, Issa MM, Roehrborn CG, et al transurethral enucleation... Concrete pavement can be reduced be saved follow-up parameters specific for the treatment of postbrachytherapy bladder obstruction. Recently there has been increasing interest in generating purely mechanical lesions in tissue ( histotripsy ) investigation to confirm and..., Sagaz a, et al investigation to confirm durability and efficacy time... Bulbar urethral strictures: Long-term results with a water-measuring device and equipped with automated locking devise to control mixing! The thickness of the prostate: Update of a new era resection in outcome:... Entire slab area resting on ribs a type of slabs which is tensioned before placing the can. P = 0.013 ) it was a non-randomized, single-center study and several subjects were lost to follow-up either! Outcomes and comparing Aquablation with HoLEP or transurethral laser enucleation is called Pre slab...

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