Artykuły w czasopismach: „Slinger”

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Wiggill, M. N., i G. F. De Wet. "Realistic teenage fiction with a sexrelated theme: Readers’ responses to Slinger-slinger by Francois Bloemhof". Literator 25, nr 3 (31.07.2004): 217–38. http://dx.doi.org/10.4102/lit.v25i3.271.

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Francois Bloemhof submitted his novel for teenagers, “Slinger-slinger” for the Sanlam competition for youth fiction in 1996. Eventually this prizewinner in the beginners’ category was published in 1997. The main theme of “Slinger-slinger” is the sexual awakening and identity of teenagers. A study was undertaken to obtain the opinions of teenage readers about the success of “Slinger-slinger” as a whole, as well as to gauge the success of integrating sexual aspects in this novel. The study also served to obtain information about the reading needs of teenage readers with regard to realistic teenage fiction and teenage fiction with a sex-related theme. The findings of the study underlying this article indicated that the participating teenage readers regarded “Slinger-slinger” as successful and interesting, and that they would like to read more realistic Afrikaans teenage fiction such as “Slinger-slinger”.

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Sukandar, Sukandar, Triwibowo Triwibowo i Yana Heryana. "FAILURE ANALYSIS ON SLINGER DISK PIPE OF PURIFIED TEREPHTALIC ACID (PTA) VESSEL". Majalah Ilmiah Pengkajian Industri 14, nr 2 (31.08.2020): 87–92. http://dx.doi.org/10.29122/mipi.v14i2.4027.

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Slinger disk pipe is a rotary part of PTA vessel with function as anti-fog by swinging hot water to the shell wall to remove solid PTA at the shell wall. Failure took place on this slinger disk pipe. The purpose of failure analysis is to find the root cause of failure. Methods conducted in this failure analysis are examination and testing of fractography, metallography, chemical composition, hardness, and calculation of bending stress. Examination on the fracture surface by fractographic method revealed fatigue fracture with the presence of multiple beachmarks. The position of those multiple beachmarks gave indication of alternation rotation of slinger disk pipe. Examination by metallographic method revealed that initial cracks initiated from heat affected zone of pipe and strengthening plates weld joint. However, result of chemical composition examination and hardness test showed that material of slinger disk pipe were in accordance with lean duplex 2205. Calculation of bending stress gave supporting data of various load effects to slinger disk pipe. Therefore, failure of the slinger disk pipe was caused by fatigue fracture which were initiated from head affected zone of pipe and strengthening plates weld joint.

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Debipersadh, Sanjeev, Henry Joseph Oduor Ogola, Kevin Mearns i Ramganesh Selvarajan. "Bioaccumulation, Bioindication and Health Risk Assessment of Heavy Metals in Cape Horse Mackerel (Trachurus trachurus) and Slinger Seabream (Chrysoblephus puniceus) in the Durban Basin and Cape Vidal, South Africa". Archives of Environmental Contamination and Toxicology 85, nr 2 (sierpień 2023): 165–80. http://dx.doi.org/10.1007/s00244-023-01028-8.

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AbstractThe bioaccumulation of heavy metals (HMs) in marine fish is a growing global concern due to potential human health risks. The study analyzed HM in the muscle tissue, gills, and gut of adult male and female cape horse mackerel and slinger seabream caught in the polluted Durban Basin and pristine Cape Vidal from April 2018 to February 2019. Results revealed interspecific, spatial, and organ-specific variability in HM levels. In the Durban Basin, slinger seabream had bioaccumulation (in mg/kg) of As (2.3 ± 0.2), Cr (2.6 ± 0.2), Ni (2.0 ± 0.1), and Pb (4.1 ± 0.3) while cape horse mackerel had Ni (1.6 ± 0.2), Pb (4.7 ± 0.6), and Zn (52 ± 3.01) exceeding World Health Organization (WHO) regulatory limits. Metal pollution index (MPI) values were also higher in Durban Basin (> 5.13) than Cape Vidal (< 3.32) for both species’ muscles. Liver and gills of slinger seabream and gut of cape horse mackerel exhibited higher HM accumulation patterns proportionate to the environmental concentrations, indicating the bioindicative potential of HM pollution by the two species. Risk assessment indicated that both fish species had target hazard quotient > 1 for Cr, and target cancer risk < 10–4 for Pb, implying significant potential non-carcinogenic and carcinogenic health risks associated with fish consumption from the Durban Basin. The study recommends daily consumption limits of 16 g/day for slinger seabream and 14 g/day for cape horse mackerel to ensure health safety. The findings contribute to the understanding of HM pollution in the Durban Basin and provide important information for decision-makers and policymakers in developing effective strategies to mitigate and manage HM contamination in fish populations.

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Bohn Stafleu van Loghum. "Uit de rubriek creatief: Slinger van bladeren". AS - Maandblad voor de activiteitensector 38, nr 8-9 (sierpień 2017): 14–15. http://dx.doi.org/10.1007/s41188-017-0086-5.

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. "Denken over adhd: de slinger schiet los". Kind en Adolescent 29, nr 3 (wrzesień 2008): 180–81. http://dx.doi.org/10.1007/bf03076756.

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Kelly, Amanda. "THE CRETAN SLINGER AT WAR – A WEIGHTY EXCHANGE". Annual of the British School at Athens 107 (29.10.2012): 273–311. http://dx.doi.org/10.1017/s006824541200007x.

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Lead slingshots discovered on Cretan sites carry considerable weight regarding the nature of warfare on the island in the Late Classical and Hellenistic periods. On Crete, inscribed lead sling bullets have been reported from nine archaeological sites while a further inscribed slingshot, issued by the Phalasarnians, has been discovered on the neighbouring island of Antikythera.Text on slingshots was conceived of, and cast as, an integral component of the weapon, thereby representing a fundamental aspect of the weapon's design. Slingshots bearing text are illuminating artefacts as not only can they reflect military action, leadership and civic affiliations, but they also raise questions regarding literacy levels within the forces and prompt debate concerning the psychological potential of such communications. It is the purpose of this paper to present the growing corpus of Cretan material against a wider backdrop of evidence, with a view to understanding the overarching role and purpose of such inscribed communications and to assess the degree of Cretan conformity with, or deviation from, broader military trends.

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Bohn Stafleu van Loghum. "Uit de rubriek Creatief: Een persoonlijke slinger maken". AS - Maandblad voor de activiteitensector 38, nr 11 (listopad 2017): 14–15. http://dx.doi.org/10.1007/s41188-017-0113-6.

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Allern, Sigurd. "Nete Nørgaard Kristensen: Journalister og kilder - slinger i valsen?" MedieKultur: Journal of media and communication research 21, nr 39 (5.09.2005): 2. http://dx.doi.org/10.7146/mediekultur.v21i39.1293.

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Dahm, Werner J. A., Prashant R. Patel i Bryan H. Lerg. "ANALYSIS OF LIQUID BREAKUP REGIMES IN FUEL SLINGER ATOMIZATION". Atomization and Sprays 16, nr 8 (2006): 945–62. http://dx.doi.org/10.1615/atomizspr.v16.i8.60.

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Zhang, Tao, Qin Feng, Wenxiang Cai i Wu He. "Numerical Analysis of Transpiration Cooling in Annular Slinger Combustor". IOP Conference Series: Earth and Environmental Science 234 (8.03.2019): 012058. http://dx.doi.org/10.1088/1755-1315/234/1/012058.

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Sun, Jie, Yuquan Zhang, Xinfeng Ge, Yuan Zheng, Xuyi Peng, Yunlai Hong i Emmanuel Fernandez-Rodriguez. "Study on the Influence of Rotational Speed and Pad Temperature of Pumped-Storage Set on Oil Mist Leakage of Thrust Bearing". Sustainability 15, nr 7 (5.04.2023): 6242. http://dx.doi.org/10.3390/su15076242.

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The accumulation of oil mist in the thrust bearings poses a threat to the safety of the unit, leading to financial and environmental losses. To investigate the generation and influencing factors of oil mist in the oil tank of the thrust bearing in a pumped-storage power station, a novel numerical simulation method is proposed for calculating the oil–oil mist–air multi-phase flow based on the VOF model, RNG k−ε turbulence model, and Lee model. The proposed numerical method’s reliability is verified using field operation data. The effects of rotational speed and pad temperature on the formation of oil mist inside the oil tank were examined from two perspectives of internal and external oil leaks. The research revealed two accumulation areas where oil mist is generated and accumulated: between the thrust head and the oil-retaining ring and near the oil slinger. The former causes external oil leaks due to pressure differences, while the latter causes internal oil leaks due to the rotor blast effect. An increase in temperature and rotational speed exacerbates the formation of oil mist. Furthermore, an increase in speed decreases the pressure change rate at the wall of the inner tank (external oil leaks) by 5.95% and at the oil slinger (internal leaks) by 44.64%. Consequently, compared to external oil leaks, internal oil leaks are more likely to occur.

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Dahm, Werner J. A., Prashant R. Patel i Bryan H. Lerg. "EXPERIMENTAL VISUALIZATIONS OF LIQUID BREAKUP REGIMES IN FUEL SLINGER ATOMIZATION". Atomization and Sprays 16, nr 8 (2006): 933–44. http://dx.doi.org/10.1615/atomizspr.v16.i8.50.

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Choi, Seongman, Donghun Lee i Jeongbae Park. "Ignition and combustion characteristics of the gas turbine slinger combustor". Journal of Mechanical Science and Technology 22, nr 3 (marzec 2008): 538–44. http://dx.doi.org/10.1007/s12206-007-1106-6.

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Korotkiy, A. A., E. V. Egelskaya, V. V. Egelskiy i A. A. Maslennikov. "Slinger Personal Protection System at Load-Lifting Mechanism Operation Employing Radio-Frequency Identification Devices". Occupational Safety in Industry, nr 9 (wrzesień 2021): 38–44. http://dx.doi.org/10.24000/0409-2961-2021-9-38-44.

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The rapid implementation of information technologies into all strata of the civil society activities has already significantly modified lives of every citizen, including production processes. The usual practice is using electronic safety devices in the technical units, including hoisting cranes. The consumer market offers remote control systems for equipment; continuous video surveillance over workflows is widely employed. Unmanned productions and unmanned technologies are being implemented, which is especially relevant at operation of potentially harmful and hazardous units. However, for a human actively participating in workflows, control and maintenance of technical devices, his/her safety during fulfillment of working functions is still a matter of great importance. In Russia, the requirements to production employees safety are determined by legislative and regulatory documents in the sphere of labor protection. Special rules of industrial safety are applied to hazardous production facilities. An important aspect of slinger protection against hazardous and harmful factors of production during operation of a hoisting crane as well as observing production discipline is using personal protection equipment and special working clothes. The constant monitoring of safety requirements in order to ensure their implementation in the real-time mode via the RFID-tags integrated into the elements of personal protection equipment and special working clothes is substantiated. The information on slinger location and availability of the required protection equipment within the hazardous zone of hoisting crane operation received to a mobile device of a person responsible for safe operation enables control of the situation, prevention of adverse events and minimization of risk of injury.

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Rezayat, S., M. Farshchi, H. Karimi i A. Kebriaee. "Spray Characterization of a Slinger Injector Using a High-Speed Imaging Technique". Journal of Propulsion and Power 34, nr 2 (marzec 2018): 469–81. http://dx.doi.org/10.2514/1.b36498.

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Garratt, P. A. "Protogynous hermaphroditism in the slinger, Chrysoblephus puniceus (Gilchrist & Thompson, 1908) (Teleosteir:Sparidae)". Journal of Fish Biology 28, nr 3 (marzec 1986): 297–306. http://dx.doi.org/10.1111/j.1095-8649.1986.tb05167.x.

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Hope, C. A., S. A. Nicholson i J. J. Churcher. "3.3 AERIAL RELEASE SYSTEM FOR TRICHOGRAMMA MINUTUM RILEY IN PLANTATION FORESTS". Memoirs of the Entomological Society of Canada 122, S153 (1990): 38–44. http://dx.doi.org/10.4039/entm122153038-1.

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AbstractAn aerial dispersal system was developed for inundative release of insect eggs, Anagasta kuehniella (Zeller) and Sitotroga cerealella (Olivier), parasitized by Trichogramma minutum Riley. The equipment was used successfully in field tests over a 4-year period (1982–1985) in a coniferous plantation forest near Hearst, Ont. The release equipment consisted of simple electrical components, mechanical components from a small grain planter, and a centrifugal slinger used for aerial seeding of jack pine. The equipment was mounted on a Bell® 47 helicopter, flown at about 25 m above the ground. A swath width of 15 m was attained using this system. Application rates ranged from 12.3 to 263.0 g ♀ ♀ parasitoids per hectare (0.6–25 × 106 ♀ ♀ parasitoids per hectare) during the 4 years of tests.

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Sun, Daoan, Wenzhe Cai, Chunying Li i Jian Lu. "Experimental study on atomization characteristics of high-energy-density fuels using a fuel slinger". Energy 234 (listopad 2021): 121222. http://dx.doi.org/10.1016/j.energy.2021.121222.

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CHOPELET, JULIEN, SARAH HELYAR, BRUCE MANN i STEFANO MARIANI. "Novel polymorphic microsatellite loci for the protogynous hermaphrodite slinger sea bream (Chrysoblephus puniceus, Sparidae)". Molecular Ecology Resources 9, nr 4 (lipiec 2009): 1223–26. http://dx.doi.org/10.1111/j.1755-0998.2009.02615.x.

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Sahu, Srikrishna, Arnab Chakraborty i Dalton Maurya. "Coriolis-induced liquid breakup and spray evolution in a rotary slinger atomizer: Experiments and analysis". International Journal of Multiphase Flow 135 (luty 2021): 103532. http://dx.doi.org/10.1016/j.ijmultiphaseflow.2020.103532.

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Mairitsch, Erwin, i Harald Harmuth. "Composition and properties of a metakaolin-based geopolymer binder suitable for shaping using a slinger". Construction and Building Materials 156 (grudzień 2017): 277–83. http://dx.doi.org/10.1016/j.conbuildmat.2017.08.164.

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Smith, Graham. ""THE GREAT SLINGER WAS HIMSELF SLUNG": THE TRANSFER OF THE "DAVID" TO THE ACADEMY IN 1873". Source: Notes in the History of Art 18, nr 3 (kwiecień 1999): 27–33. http://dx.doi.org/10.1086/sou.18.3.23205065.

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Paquet, Bernard, Alain de Champlain i Small Kalla. "REVIEW OF FUEL SPRAY DISTRIBUTIONS TO PREDICT PERFORMANCE OF ROTARY ATOMIZERS IN A SLINGER GAS TURBINE COMBUSTOR". Atomization and Sprays 26, nr 5 (2016): 483–511. http://dx.doi.org/10.1615/atomizspr.2015012258.

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Najjari, Laila, Julia Hennemann, Ruth Kirschner-Hermanns, Nicolai Maass i Thomas Papathemelis. "Visualization of Polypropylene and Polyvinylidene Fluoride Slings in Perineal Ultrasound and Correlation with Clinical Outcome". BioMed Research International 2014 (2014): 1–8. http://dx.doi.org/10.1155/2014/181035.

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Introduction and Hypothesis.Complications and malfunctioning after TOT can occur due to several factors, such as the material of the sling. The aim of the present study is to evaluate morphology and functionality of two types of slings (PVDF; polypropylene)in vivousing perineal ultrasound (PUS).Materials. Inn=47women with TOT four criteria for PUS were taken and checked for possible differences: vertical stability of the sling position during Valsalva manoeuvre and contraction; distance “sling to urethra”; width of the sling and condition of the selvedges.Results. We observed an increased vertical displacement of the PP-slings, a significantly smaller variance to the extent of the displacement in PVDF-slings (P<0.01), a significantly larger distance between sling and urethra (P<0.001) in PVDF-slings, and a significantly smaller width of the PP-slings (P<0.0001).Conclusion. Significant differences were found between the slings according to the four criteria. There was no difference established between the slings in the improvement of continence and no significant influence of the parameters was found for the resulting state of continence. In future studies, PUS may help to link differences in the morphology and functionality ofin vivoslings to their material properties.

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Oliveira, Letícia, Marcia Dias, Sérgio Martins, Jorge Haddad, Manoel Girão i Rodrigo Castro. "Surgical Treatment for Stress Urinary Incontinence in Women: A Systematic Review and Meta-analysis". Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 40, nr 08 (sierpień 2018): 477–90. http://dx.doi.org/10.1055/s-0038-1667184.

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Objective To compare surgical treatments for stress urinary incontinence in terms of efficiency and complications. Data Sources We searched the MEDLINE and COCHRANE databases using the terms stress urinary incontinence, surgical treatment for stress urinary incontinence and sling. Selection of Studies Forty-eight studies were selected, which amounted to a total of 6,881 patients with scores equal to or higher than 3 in the Jadad scale. Data Collection Each study was read by one of the authors, added to a standardized table and checked by a second author. We extracted data on intervention details, follow-up time, the results of treatment and adverse events. Data Synthesis Comparing retropubic versus transobturator slings, the former was superior for both objective (odds ratio [OR], 1.27; 95% confidence interval [CI], 1.05–1.54) and subjective (OR, 1.23; 95% CI, 1.02–1.48) cures. Between minislings versus other slings, there was a difference favoring other slings for subjective cure (OR, 0.58; 95% CI, 0.39–0.86). Between pubovaginal sling versus Burch surgery, there was a difference for both objective (OR, 2.04; 95% CI, 1.50–2.77) and subjective (OR, 1.64; 95% CI, 1.10–2.44) cures, favoring pubovaginal sling. There was no difference in the groups: midurethral slings versus Burch, pubovaginal sling versus midurethral slings, transobturator slings, minislings versus other slings (objective cure). Retropubic and pubovaginal slings are more retentionist. Retropubic slings have more bladder perforation, and transobturator slings, more leg and groin pain, neurological lesion and vaginal perforation. Conclusion Pubovaginal slings are superior to Burch colposuspension surgery but exhibit more retention. Retropubic slings are superior to transobturator slings, with more adverse events. Other slings are superior to minislings in the subjective aspect. There was no difference in the comparisons between midurethral slings versus Burch colposuspension surgery, pubovaginal versus midurethral slings, and inside-out versus outside-in transobturator slings.

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Sommer III, H. Joseph, John M. Cimbala i David G. Miller. "Self-Excited Limit Cycle Yaw Oscillation Instability of External Sling Payloads with Dual-Point Suspension During Level Flight". Journal of the American Helicopter Society 60, nr 4 (1.10.2015): 1–10. http://dx.doi.org/10.4050/jahs.60.042008.

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This work developed and verified a computational model to predict self-excited limit cycle yaw oscillation (SELCYO) instability of external sling payloads carried under aircraft with dual-point suspension. Inverted-V and inverted-Y slings during steady-state level flight are discussed. The primary goal was to provide a design tool for comparison of the onset of SELCYO between alternate sling geometries. The computational model incorporates steady-state aerodynamic loading during level flight based on scale-model wind tunnel testing. Scale-model sling tests of the onset of SELCYO in the same wind tunnel were used for validation. Predictions of cargo hook load for a full-size HMMWV-M1025 payload carried by inverted-V slings are compared to V-22 Osprey flight-test data. Predictions of stability indicate that stiffer slings are generally more stable, and inverted-V slings are significantly more stable than inverted-Y slings. Small differences between right and left front sling leg lengths caused by rigging error can significantly reduce stability.

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Lisowski, Tomasz. "Leksem drabant (Act 23,23) w Nowym Testamencie Biblii gdańskiej (1632) w przekładzie Daniela Mikołajewskiego". Białostockie Archiwum Językowe, nr 20 (2020): 135–51. http://dx.doi.org/10.15290/baj.2020.20.11.

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In a verse of Act 23,23 in Biblia gdańska (1632) translated by Daniel Mikołajewski, an equivalent of Greek lexeme δεξιόλαβος ‘probably a spearman or slinger’, the noun drabant is used, which is unique, compared to its counterpart – oszczepnik – in Biblia translated by JakubWujek (1599). It may have been borrowed from the Czech language in the second half of the 16th century. In the Polish language of the time it was not a very widespread lexeme, maybe of erudite nature. It appeared in the text of Biblia gdańska taken from the Czech Biblia kralicka. Among Protestants at that time, as a military term, it could have evoked associations with the religious Hussite Wars. The lexeme drabant survived in the biblical text of the Evangelist circles until the second half of the twentieth century. Given the fact that in that century it was already an archaic word, it was not used in new testament translations which followed the translational tradition of Biblia gdańska. And probably it became fixed in the consciousness of the faithful of Evangelist churches as a memorable reminder of the past. For centuries that lexeme, along with other lexemes characteristic of Biblia gdańska caused lexical distinctiveness of that Evangelist translation compared to the Catholic translation by Jakub Wujek.

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Lee, Seung-Hyuk, i Joon-Hee Lee. "Examining the effects of upper extremity function and arm sling type on balance, gait and fall risk in patients with hemiparesis". International Journal of Therapy and Rehabilitation 28, nr 12 (2.12.2021): 1–9. http://dx.doi.org/10.12968/ijtr.2020.0044.

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Background/aims Previous studies have reported conflicting results on the effects of arm slings on the balance and gait of patients with hemiparesis. These previous studies did not consider the ability to control the upper extremity on the affected side as a factor that could affect the patient's balance or gait when an arm sling was applied. Hence, the aim of this study was to investigate the effect of upper extremity function in the affected side and arm position according to the sling type on balance, gait and fall. Methods A total of 31 stroke patients participated in the study and were assigned to two groups according to upper extremity function (low-score group and high-score group). Under three conditions (no sling, forearm sling and shoulder sling), a fall risk test, postural stability test and limits of stability test were performed and speed, stride duration, step length and total time were measured. Results When the high-score group wore forearm slings, the static and dynamic balance ability decreased and the fall risk increased. When the low-score group wore forearm slings and shoulder slings, the static and dynamic balance ability increased and the fall risk decreased. The high-score group had a shorter gait time when wearing shoulder slings. When the low-score group wore forearm slings, the speed and step length increased and the total time decreased, enhancing the overall gait ability. Conclusions For stroke patients with better upper extremity control ability, shoulder slings are more appropriate. For patients with poor upper extremity control ability, forearm slings are more appropriate. Using the appropriate sling according to the upper extremity function can improve balance and gait ability and fall risk can be reduced.

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Liao, Xia, Danhui Dan, Fei Han i Rui Zhao. "Research on the Dynamic Characteristics of the Double Slings System with Elastic Connection Considering Boundary Conditions". Mathematics 10, nr 17 (1.09.2022): 3129. http://dx.doi.org/10.3390/math10173129.

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As the length of single sling increases, double slings with transverse connections are gradually becoming one of the effective measures to control the undesirable vibration of single slings. In the analysis of the dynamic characteristics of the double sling system, this paper firstly deduces the dynamic stiffness matrix of the elastically connected double sling system by the dynamic stiffness method (DSM), solves the frequency equation evolved from the dynamic stiffness matrix by using the Wittrick-Williams (W-W) algorithm, and obtains the systematic analysis and calculation of the dynamic characteristics of the double sling system under arbitrary boundary conditions. Secondly, a complete and accurate analysis method of the dynamic characteristics of the double sling system is obtained by comprehensively considering the bending stiffness and boundary conditions of the sling, and the accuracy of the calculation can be verified by the actual measurement data. Finally, the best installation position and quantity of transverse sling clamps in the double sling system are obtained by the parametric analysis of transverse sling clamps. The analysis of this paper will provide a theoretical basis for the design and optimization of slings, and further promote the wide application of the double sling system.

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Abdel-Fattah, Mohamed, David Cooper, Tracey Davidson, Mary Kilonzo, Dwayne Boyers, Kiron Bhal, Alison McDonald i in. "Single-incision mini-slings versus standard synthetic mid-urethral slings for surgical treatment of stress urinary incontinence in women: The SIMS RCT". Health Technology Assessment 26, nr 47 (grudzień 2022): 1–190. http://dx.doi.org/10.3310/btsa6148.

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Background Stress urinary incontinence is the most common type of urinary incontinence in premenopausal women. Until recently, synthetic mid-urethral slings (mesh/tape) were the standard surgical treatment, if conservative management failed. Adjustable anchored single-incision mini-slings are newer, use less mesh and may reduce perioperative morbidity, but it is unclear how their success rates and safety compare with those of standard tension-free mid-urethral slings. Objective The objective was to compare tension-free standard mid-urethral slings with adjustable anchored single-incision mini-slings among women with stress urinary incontinence requiring surgical intervention, in terms of patient-reported effectiveness, health-related quality of life, safety and cost-effectiveness. Design This was a pragmatic non-inferiority randomised controlled trial. Allocation was by remote web-based randomisation (1 : 1 ratio). Setting The trial was set in 21 UK hospitals. Participants Participants were women aged ≥ 18 years with predominant stress urinary incontinence, undergoing a mid-urethral sling procedure. Interventions Single-incision mini-slings, compared with standard mid-urethral slings. Main outcome measures The primary outcome was patient-reported success rates on the Patient Global Impression of Improvement scale at 15 months post randomisation (≈ 1 year post surgery), with success defined as outcomes of ‘very much improved’ or ‘much improved’. The primary economic outcome was incremental cost per quality-adjusted life-year gained. Secondary outcomes were adverse events, impact on other urinary symptoms, quality of life and sexual function. Results A total of 600 participants were randomised. At 15 months post randomisation, adjustable anchored single-incision mini-slings were non-inferior to tension-free standard mid-urethral slings at the 10% margin for the primary outcome [single-incision mini-sling 79% (212/268) vs. standard mid-urethral sling 76% (189/250), risk difference 4.6, 95% confidence interval –2.7 to 11.8; p non-inferiority < 0.001]. Similarly, at 3 years’ follow-up, patient-reported success rates in the single-incision mini-sling group were non-inferior to those of the standard mid-urethral sling group at the 10% margin [single-incision mini-sling 72% (177/246) vs. standard mid-urethral sling 67% (157/235), risk difference 5.7, 95% confidence interval –1.3 to 12.8; p non-inferiority < 0.001]. Tape/mesh exposure rates were higher for single-incision mini-sling participants, with 3.3% (9/276) [compared with 1.9% (5/261) in the standard mid-urethral sling group] reporting tape exposure over the 3 years of follow-up. The rate of groin/thigh pain was slightly higher in the single-incision mini-sling group at 15 months [single-incision mini-sling 15% (41/276) vs. standard mid-urethral sling 12% (31/261), risk difference 3.0%, 95% confidence interval –1.1% to 7.1%]; however, by 3 years, the rate of pain was slightly higher among the standard mid-urethral sling participants [single-incision mini-sling 14% (39/276) vs. standard mid-urethral sling 15% (39/261), risk difference –0.8, 95% confidence interval –4.1 to 2.5]. At the 3-year follow-up, quality of life and sexual function outcomes were similar in both groups: for the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life, the mean difference in scores was –1.1 (95% confidence interval –3.1 to 0.8; p = 0.24), and for the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, International Urogynecological Association-Revised, it was 0 (95% confidence interval –0.1, 0.1; p = 0.92). However, more women in the single-incision mini-sling group reported dyspareunia [12% (17/145), compared with 4.8% (7/145) in the standard mid-urethral sling group, risk difference 7.0%, 95% confidence interval 1.9% to 12.1%]. The base-case economics results showed no difference in costs (–£6, 95% confidence interval –£228 to £208) or quality-adjusted life-years (0.005, 95% confidence interval -0.068 to 0.073) between the groups. There is a 56% probability that single-incision mini-slings will be considered cost-effective at the £20,000 willingness-to-pay threshold value for a quality-adjusted life-year. Limitations Follow-up data beyond 3 years post randomisation are not available to inform longer-term safety and cost-effectiveness. Conclusions Single-incision mini-slings were non-inferior to standard mid-urethral slings in patient-reported success rates at up to 3 years’ follow-up. Future work Success rates, adverse events, retreatment rates, symptoms, and quality-of-life scores at 10 years’ follow-up will help inform long-term effectiveness. Trial registration This trial was registered as ISRCTN93264234. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 26, No. 47. See the NIHR Journals Library website for further project information.

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Childs, D. W., S. A. Nolan i J. J. Kilgore. "Additional Test Results for Round-Hole-Pattern Damper Seals: Leakage, Friction Factors, and Rotordynamic Force Coefficients". Journal of Tribology 112, nr 2 (1.04.1990): 365–71. http://dx.doi.org/10.1115/1.2920266.

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Test results are presented for round-hole-pattern damper seals at Reynolds numbers on the order of 90,000 to 250,000. The seals have roughened stators; Cr/R = 0.0075 and L/D = 1/2. The fluid CBrF3 entering the test seals has no intentional prerotation, i.e., the fluid is injected radially into the apparatus. There is no tangential injection; and no “slinger” is provided upstream of the seals. Test results consist of leakage rates, axial pressure gradients, friction factors, and rotordynamic-force coefficients. The hole-pattern-stator seals leak approximately one third less than smooth seals at the same clearances, have approximately the same damping performance, and about 20 percent lower stiffness values. Unlike earlier tests (Childs and Kim, 1986), variations in hole depth to radial clearance ratios h/Cr showed no clear optimum with respect to damping. Increasing the ratio of hole area to surface area from 0.27 to 0.34 to 0.42 showed no damping change, in moving from 0.27 to 0.34, but a substantial drop in moving from 0.34 to 0.42. Measured friction factors showed serious deviations from the assumed Blasius friction-factor model for wall-shear stress for some stators, particularly in regard to speed dependency. Despite these deviations, theoretical predictions based on measured friction factors are generally reasonable. Direct stiffness predictions are generally within 20 percent. Damping predictions are generally within 5 percent.

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Zhao, Hanson, Colby P. Souders, Paige K. Kuhlmann, Kai Dallas, Karyn Eilber i Jennifer T. Anger. "Adverse Events Associated With Synthetic Male Slings: An Analysis of the Food and Drug Administration Manufacturer and User Facility Device Experience Database". International Neurourology Journal 25, nr 2 (30.06.2021): 172–76. http://dx.doi.org/10.5213/inj.2040294.147.

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Purpose: We sought to describe and analyze the adverse events associated with synthetic male slings reported to the U.S. Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database.Methods: We queried the MAUDE database for all entries including the terms “Male Sling,” “InVance,” “Virtue,” or “Advance” from January 1st, 2009 to December 31st, 2018. We collected and analyzed information about the event type, date received, report source, source type, and manufacturer. We reviewed and categorized the event description text for each medical device report (MDR).Results: A total of 497 adverse events related to the male sling were identified. The adverse events were classified as injury (95.4%), malfunction (4.2%), and other (0.4%). There were no deaths described. The slings involved were the Advance or Advance XP sling (69.8%), InVance (15.5%), Virtue Quadratic (12.3%), or unknown (2.4%). The 4 most common adverse events described were urinary incontinence (46.7%), sling erosion (9.1%), mechanical malfunction (8.2%), and pain/numbness (8.2%). There was no increase in the number of reports in the years following the FDA warnings for urogynecologic mesh.Conclusions: There was an overall modest number of MDRs related to male slings and the majority of them were reported by the manufacturer. The reporting of adverse events for male slings does not seem to be affected by the controversy and scrutiny towards transvaginal mesh and midurethral slings. Further clinical studies and more objective and detailed databases are needed to investigate the safety of these synthetic slings.

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Srivastava, Arnav, Gregory Joice, Madeline Manka, Nikolai Sopko i Edward Wright. "2538". Journal of Clinical and Translational Science 1, S1 (wrzesień 2017): 83. http://dx.doi.org/10.1017/cts.2017.292.

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OBJECTIVES/SPECIFIC AIMS: Perineal urethral sling placement is an option for men with mild to moderate post-prostatectomy stress urinary incontinence (SUI). However, men with persistent incontinence after sling placement often require secondary artificial urinary sphincter (AUS) placement, made difficult by the sling occupying the proximal bulbar urethra. This proximal section has a thicker corpus spongiosum which may mitigate cuff-induced ischemia and subsequent urethral atrophy. The authors report a series of AUS placements after failed sling, using sling revision or removal to access the proximal urethra. METHODS/STUDY POPULATION: Cutting the sling arms during urethral cuff placement increased urethral exposure and mobility. If feasible, completely removing the sling allowed the most proximal cuff site; but if dissection was felt unsafe, the mesh was left in situ and the cuff placed distally. This study is a retrospective cohort design of patients with SUI who underwent AUS placement after failed sling from 2010 to 2016. Variables included baseline patient characteristics, SUI severity, intraoperative variables, and postoperative outcomes. AUS failure, defined as infection, erosion or urethral atrophy, was analyzed at 12 and 96 months using univariate and multivariable logistic regression. RESULTS/ANTICIPATED RESULTS: Over the study period, 29 patients underwent AUS placement after failed sling. At the time of AUS placement, mean urethral circumference was 6.2 cm and 68% of patients had a 4.5 cm cuff placed; no cases required a 3.5 cm cuff. Seventy-three percent of cases were after transobturator sling placement (27% bone-anchored) and 45% of slings were explanted. AUS failure rate at 12 and 96 months was 17.8% and 45%, respectively; atrophy was the most common indication. Prior transobturator sling placement had lower rates of both 12 month (9.1% vs. 57%, p=0.006) and 96 month (36% vs. 71%, p=0.11) failure, though the latter was not statistically significant. Sling explant was not a significant predictor of 12 month (p=0.12) or 96 month failure (p=0.17). DISCUSSION/SIGNIFICANCE OF IMPACT: Sling revision during AUS placement helps expose the wider proximal urethra, allowing larger cuff size placement. This procedure appears safe, with low rates of erosion and short-term failure—albeit with high rates of long-term urethral atrophy possibly due to more significant dissection causing devascularization. However, sling removal was not a significant predictor of failure. The transobturator sling’s smaller profile may result in less trauma to urethra—possibly explaining the improved outcomes.

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Zhou, GW, CZ Qian i CP Chen. "Study on Finite Element Simulation Method and Broken Sling Effect of Single Side Suspension Bridge with Curved Decks". Journal of Physics: Conference Series 2476, nr 1 (1.04.2023): 012004. http://dx.doi.org/10.1088/1742-6596/2476/1/012004.

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Abstract As a new type of bridge structure system, the single side suspension bridge with curved decks has the characteristics of typical special-shaped bridge structure, and its forces are relatively complex. The slings are usually fragile components, and the breakage of the slings will affect the safety of the whole bridge structure. Based on a single side curved suspension bridge, the static and dynamic nonlinear models of the bridge were established by using ANSYS general finite element software. Based on the analysis of the parameters, the reasonable values of failure time of sling, the damping ratio of the bridge structure, the effect of the broken sling on the residual internal force, the tensile force of the main cable, the bending moment of the main beam and the vertical displacement are discussed. The results show that the effect of sling breakage increases with the decrease of sling failure time and structural damping ratio, and the effect of sling breakage on the internal force of the main cable is small, but it will cause a rapid increase of the internal force of the adjacent slings on the same side and the main beam.

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Khan, Aqsa A., Nirit Rosenblum, Benjamin Brucker i Victor Nitti. "Changes in management of stress urinary incontinence following the 2011 FDA Health Notification". Journal of Clinical Urology 10, nr 5 (6.02.2017): 440–48. http://dx.doi.org/10.1177/2051415817691662.

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Purpose: We sought to assess for impact on management trends in new patients presenting to our institution with stress urinary incontinence (SUI) following the release of the FDA Health Notification in July 2011 for vaginal mesh. Materials and methods: Chart analysis was performed on patients assigned a primary International Classification of Diseases (ICD-9) diagnosis code of 625.6 for SUI at initial consultation by two providers at our institution between June 1, 2010 and November 30, 2014. Rates of treatment and types of procedures performed were analyzed: urethral bulking, mesh sling, or pubovaginal sling. Results: A total of 333 new patients were identified with an increasing trend over time. One hundred and twenty-three patients underwent 153 procedures for stress incontinence. The mean proportion that had a procedure per six-month period was 37%, with decreasing proportions over time. Initially all procedures were midurethral mesh slings, with a decline at the time of and after the notification, and a temporary increase in bulking procedures. Subsequently, there was a rise again in sling placement, namely with an increase in pubovaginal slings. Of the 20 pubovaginal slings placed, 13 were placed in patients who had a prior anti-incontinence surgery (eight for sling failure, vaginal mesh, or fixed urethra, and two in patients with mesh extrusion/erosion). Seven were performed in patients who had never had prior surgery (two for very high-grade incontinence, two with urethral diverticulectomy, and three in patients who expressed concern about mesh). Conclusions: Although there were an increasing number of patients seen for management of SUI over time, there was a progressive decrease in the proportion of patients having anti-incontinence procedures after release of the FDA notification. There was an overall decrease in the use of mesh slings and an increase in bulking, and more notably, placement of pubovaginal slings.

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Seo, Yechan, Gyongwon Ryu, Hyeonseok Shim i Jeekeun Lee. "An experimental study on the low-temperature spray characteristics of aviation Jet A-1 fuel with rotational speeds in a slinger-type atomizer". Fuel 331 (styczeń 2023): 125899. http://dx.doi.org/10.1016/j.fuel.2022.125899.

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Shim, Hyeon-Seok, Jonggeun Bae, Jupyoung Kim, Shaun Kim, Donghyun Kim i Gyongwon Ryu. "An Experimental Study on the Spray Characteristics of a Rotating Fuel Nozzle of a Slinger Combustor for Different Flow Rates and Rotating Speeds". Journal of the Korean Society of Propulsion Engineers 25, nr 4 (31.08.2021): 59–70. http://dx.doi.org/10.6108/kspe.2021.25.4.059.

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Rodrigues, Claudinei, Ana Bianchi-Ferraro, Eliana Zucchi, Marair Sartori, Manoel Girão i Zsuzsanna Jarmy-Di Bella. "Pelvic Floor 3D Ultrasound of Women with a TVT, TVT-O, or TVT-S for Stress Urinary Incontinence at the Three-year Follow-up". Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 39, nr 09 (28.08.2017): 471–79. http://dx.doi.org/10.1055/s-0037-1606125.

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Objective Using three-dimensional ultrasound (3D-US), we aimed to compare the tape position and the angle formed by the sling arms in different techniques of mid-urethral sling insertion for the surgical treatment of stress urinary incontinence, three years after surgery. In addition, we examined the correlations between the US findings and the clinical late postoperative results. Methods A prospective cross-sectional cohort study of 170 patients who underwent a sling procedure between May 2009 and December 2011 was performed. The final sample, with US images of sufficient quality, included 26 retropubic slings (tension-free vaginal tape, TVT), 42 transobturator slings (tension-free vaginal tape-obturator, TVT-O), and 37 single-incision slings (tension-free vaginal tape-Secur, TVT-S). The images (at rest, during the Valsalva maneuver, and during pelvic floor contraction) were analyzed offline by 2 different observers blinded against the surgical and urinary continence status. Group comparisons were performed using the Student t-test, the chi-squared and the Kruskal-Wallis tests, and analyses of variance with Tukey multiple comparisons. Results Differences among the groups were found in the mean angle of the tape arms (TVT = 119.94°, TVT-O = 141.93°, TVT-S = 121.06°; p < 0.001) and in the distance between the bladder neck and the tape at rest (TVT = 1.65 cm, TVT-O = 1.93 cm, TVT-S = 1.95 cm; p = 0.010). The global objective cure rate was of 87.8% (TVT = 88.5%, TVT-O = 90.5%, TVT-S = 83.8%; p = 0.701). The overall subjective cure rate was of 83.8% (TVT = 88.5%, TVT-O = 88.5% and TVT-S = 78.4%; p = 0.514). The slings were located in the mid-urethra in 85.7% of the patients (TVT = 100%, TVT-O = 73.8%, TVT-S = 89.2%; p = 0.001), with a more distal location associated with obesity (distal: 66.7% obese; mid-urethra: 34% obese; p = 0.003). Urgency-related symptoms were observed in 23.8% of the patients (TVT = 30.8%, TVT-O = 21.4%, TVT-S = 21.6%; p = 0.630). Conclusions The angle formed by the arms of the sling tape was more obtuse for the transobturator slings compared with the angles for the retropubic or single-incision slings. Retropubic slings were more frequently located in the mid-urethra compared with the other slings, regardless of obesity. However, the analyzed sonographic measures did not correlate with the urinary symptoms three years after the surgery.

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Usenko, O. Yu, A. V. Sydiuk, O. Ye Sydiuk, A. S. Klimas, G. Yu Savenko i O. T. Teslia. "Morphometric indicators for selection of dual endobronchial tube in thoracic anesthesiology". Reports of Morphology 28, nr 1 (23.02.2022): 64–68. http://dx.doi.org/10.31393/morphology-journal-2022-28(1)-10.

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For the purpose of single-lung ventilation, various methods of lung isolation are used in the world, which is a prerequisite for many thoracic, cardiac and esophageal surgeries. Numerous studies have reported various methods for determining the optimal suitability between the diameter of the tube and the diameter of the left main bronchus for adequate ventilation and gas exchange during operations on the thoracic cavity. However, there is no consensus among anesthesiologists on the choice of tube size for effective lung ventilation and isolation. We have developed a new mathematical formula for determining the appropriate size of the left bilateral luminal endobronchial tube (LDT). The aim of the study was to determine the effectiveness of the developed standardized mathematical formula for determining the appropriate size of LDT for use in thoracic anesthesiology. The study was performed on 192 patients with diseases of the thoracic cavity (esophagus, lungs, mediastinum), operated on in the thoracoabdominal department of the Shalimov National Institute of Surgery and Tranplantology. A retrospective comparison group – 96 patients after thoracic surgery, which used the choice of LDT size according to the well-known Slinger method “according to the patient’s height”. The study group consisted of 96 patients after thoracic surgery, in which the choice of the size of the bifurcated endobronchial tube was used according to the developed method (according to the formula that evaluates morphometric indicators of height, sex and diameter of the left main bronchus). The application of the proposed method reduces (p = 0.001) the risk of pulmonary complications, HR = 0.39 (95 % CI 0.22-0.70) compared to traditional methods. The risk decreased 2.5 times.

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Arnaiz-Villena, Antonio, Valentin Ruíz-del-Valle, Alejandro Sánchez-Orta i Fabio Suarez-Trujillo. "Lineal Megalithic and Tartessian Rock Scripts in the Alcalar Dolmens complex (Portimao, Portugal)". International Journal of Modern Anthropology 2, nr 18 (6.12.2022): 896–922. http://dx.doi.org/10.4314/ijma.v2i18.1.

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Lineal Megalithic Scripts (LMS) have been found in the Alcalar Dolmen complex (Portimao, Portugal) in a stoneslab which is located close to the reconstructed Dolmen 7. Exact situation of the megalithic Alcalar Stoneslab and scripts placing are shown in this paper. Their preliminar analysis has given also finding of some Iberian-Tartessian signs common to Cumbres Mayores Dolmens (Huelva, Spain), and other signs also found in Sahara Desert (Tim Missaou, Algeria) and Canary Islands rocks. The presence of these LMS admixed with some signs contained in the Iberian-Tartessian signary suggests a transition between LMS and lineal Tartessian signary. A religious funerary transcription has been proposed to these Tartessian signs based on Basque and ancient Iberian-Tartessian language close relatedness. The fact that Tartessian culture is located at Portuguese Algarve and Spanish Andalusia fits with the finding that both in Portugal (Alcalar) and Spain (Cumbres Mayores) Dolmens are found Iberian-Tartessian signs that may be as old as the megaliths (3-4 thousand years BC). It is also proposed that this development and concentration of megaliths in Algarve (Portugal) and Andalusia (Spain) is related to Tartessos civilization in the area which would follow the South Iberia Pyrite Belt, rich in cooper (Cu), silver (Ag), gold (Au) and iron (Fe), that crosses South Portugal and Spain; Tartessos would be somewhat attached to the Iberian Pyrite Belt source of richness. Leisners archaeologists also observed and photographed “Iberian” signs in the San Bartolomé Dolmen (Huelva, Spain) in 1951 AD; they described here “Iberian” scripts in a small artifact most likely is a slinger soldier (“hondero”) projectile who could exixt since 3-4000 BC in South Spain.

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Uberoi, Pansy, i Forrest Jellison. "Delayed Presentation of Iliac Vein Injury: A Severe Complication at Retropubic Midurethral Sling Arm Removal". Case Reports in Urology 2019 (16.04.2019): 1–3. http://dx.doi.org/10.1155/2019/4732356.

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Midurethral slings are the most common treatment for female stress urinary incontinence. Perioperative vascular injuries during placement of a retropubic midurethral sling (RMUS) are uncommon but have been described. The objective of this case report is to describe a complication of delayed presentation from a vascular injury at the time of retropubic sling arm removal not previously documented in the literature. This life-threating complication should be considered and precautions should be taken at retropubic sling arm removal. Prevention is accomplished by proper visualization of pelvic vasculature and/or eliminating tension on sling before excision.

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Kim, Aram, Sehwan Kim i Hyeong Gon Kim. "Current Overview of Surgical Options for Female Stress Urinary Incontinence". International Neurourology Journal 24, nr 3 (30.09.2020): 222–30. http://dx.doi.org/10.5213/inj.2040052.026.

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Stress urinary incontinence (SUI) is a highly prevalent health condition that significantly impacts the quality of life. Traditional methods of treatment for SUI, such as pubovaginal sling and Burch colposuspension, have been replaced by the midurethral sling because of its high efficacy, low complication and morbidity rates, and short learning curve. Although multiple behavioral and operative treatments exist, midurethral slings are the gold standard for the treatment of SUI in women. However, several reports have raised concerns about complications caused by the synthetic mesh used in midurethral slings. Therefore, surgical treatment for SUI in women must be chosen with care, taking into account potential complications. Herein, we review the current safety issues pertaining to the use of meshes, the efficacy of traditional surgeries, old and new midurethral slings, and recent data comparing the efficacy and safety of different surgical options. This review is aimed at developing practical guidelines for choosing surgical options for women with SUI.

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Trost, Landon, i Daniel S. Elliott. "Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes". Advances in Urology 2012 (2012): 1–13. http://dx.doi.org/10.1155/2012/287489.

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Introduction and Objective. Iatrogenic male stress urinary incontinence (SUI) affects a percentage of men undergoing urologic procedures with a significant impact on quality of life. The treatment of male SUI has evolved significantly with multiple current options for treatment available. The current paper discusses preoperative evaluation of male SUI, available surgical options with reported outcomes, and postoperative complication management.Methods. A pubMed review of available literature was performed and summarized on articles reporting outcomes of placement of the artificial urinary sphincter (AUS) or male slings including the bone anchored sling (BAS), retrourethral transobturator sling (RTS), adjustable retropubic sling (ARS), and quadratic sling.Results. Reported rates of success (variably defined) for BAS, RTS, ARS, and AUS are 36–67%, 9–79%, 13–100%, and 59–91% respectively. Complications reported include infection, erosion, retention, explantation, and transient pain. Male slings are more commonly performed in cases of low-to-moderate SUI with decreasing success with higher degrees of preoperative incontinence.Conclusions. An increasing number of options continue to be developed for the management of male SUI. While the AUS remains the gold-standard therapy for SUI, male sling placement is a proven viable alternative therapy for low-to-moderate SUI.

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Giacometti, Renato Alberto, Antônio Soares Teixeira, Paulo Borges Rodrigues, Rilke Tadeu Fonseca de Freitas, Antônio Gilberto Bertechini, Elias Tadeu Fialho i Asdrubal Viana do Santos. "Valores energéticos do farelo de arroz integral suplementado com complexos enzimáticos para frangos de corte". Ciência e Agrotecnologia 27, nr 3 (czerwiec 2003): 703–7. http://dx.doi.org/10.1590/s1413-70542003000300028.

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Este experimento foi realizado com o objetivo de estudar o efeito de enzimas carboidrases exógenas com atividade xilanase sobre a energia metabolizável aparente (EMA) e aparente corrigida (EMAn) do farelo de arroz integral (FAI). As enzimas carboidrases com atividade xilanase utilizadas foram as da marca comercial Rovabio TM Excel AP, Allzyme Rice e Ronozyme WX, denominadas, respectivamente, neste trabalho, de enzimas A, B, e C. Foram utilizadas 240 aves de corte da linhagem Coob, com 21 dias de idade, alojadas em gaiolas metálicas com bandejas coletoras de excretas instaladas em uma sala de metabolismo com ambiente controlado. O delineamento foi inteiramente casualizado, constituído por 4 dietas-referência e 4 dietas-teste e 6 repetições, totalizando 48 parcelas com 5 aves cada uma. As dietas-referência e as dietas-teste estudadas foram as seguintes: Dieta-referência à base de milho, farelo de soja, vitaminas e minerais (DR); DR + enzima A; DR + enzima B; DR + enzima C; 70% de DR + 30% de FAI; 70% de DR + 30% de FAI + enzima A; 70% de DR + 30% de FAI + enzima B e 70% de DR + 30% de FAI + enzima C. Utilizou-se o método de coleta total de excretas (Sibbald & Slinger, 1963) durante 5 dias em cada unidade experimental, precedido de 5 dias de adaptação das aves às dietas. As determinações de EMA e EMAn foram realizadas conforme metodologia de Matterson et al. (1965). A EMAn do FAI foi de 2897 kcal/kg de MS. Com o uso das enzimas carboidrases, o melhor valor de EMAn do FAI foi obtido quando utilizou-se a enzima C, sendo de 3083 kcal/kg de MS, com um aumento percentual de 6,4%. A dieta-referência que recebeu a adição da enzima C teve sua EMAn aumentada, o que não ocorreu com a utilização das outras carboidrases.

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Savulionis, Gerardas, Karolina Stankevičiūtė, Augustas Skaudickas i Darijus Skaudickas. "LONG-TERM EFFECTIVENESS AND COMPLICATIONS OF MID-URETHRAL SLINGS: CLINICAL CASE". Health Sciences 32, nr 3 (1.07.2022): 42–46. http://dx.doi.org/10.35988/sm-hs.2022.085.

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Approximately 50% of all women suffer from urinary incontinence at least once in their lifetime. A majority of these women experience a type of urinary incontinence that is called stress urinary incontinence. Women of all ages are susceptible to this disease, however, it mostly affects older and overweight women. Even though this is not a life-threatening disease, it is important to find the most effective treatment methods to lessen the social and psychological damage that is associated with this disease. Stress urinary incontinence is treated conservatively, however, if the treatment is not successful, surgical options can be utilized. In the last few decades, surgical methods for stress urinary incontinence have changed dramatically. Burch colposuspension has long been a gold standard for surgical stress urinary incontinence treatment, however, its popularity has started to drop. Instead, mid-urethral slings have become the more mainstream option. Mid-urethral sling operations are not only less invasive and cause fewer complications, but are also more effective at treating stress urinary incontinence. Aim: To analyse the newest publications that review the long-term effectiveness and complications of mid-urethral slings and to also present a clinical case. Methods: A scientific literature review was conducted utilizing the following databases: Pubmed, ScienceDirect, UpToDate. Keywords for the search were urinary stress incontinence, Burch colposuspension, mid-urethral sling, tension-free vaginal tape. The most relevant scientific articles and scientific publications on the topic were selected. This article presents a generalized analysis of the scientific literature on the topic “Long-term effectiveness and complications of mid-urethral slings: clinical case and literature review”. Results: Mid-urethral sling operations are an effective treatment option for stress urinary incontinence in women. Mid-urethral sling operations have lower complication risk than popular alternatives. According to the literature analysed in the study, there is no significant difference in effectiveness and complication rates between retropubic and transobturator mid-urethral slings. However, these are both quite not old treatments methods and so far there is not enough data to make a definitive conclusion.

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Hoy, Nathan Y., i Keith F. Rourke. "Stemming the tide of mild to moderate post-prostatectomy incontinence: A retrospective comparison of transobturator male slings and the artificial urinary sphincter". Canadian Urological Association Journal 8, nr 7-8 (11.08.2014): 273. http://dx.doi.org/10.5489/cuaj.2108.

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Introduction: The AUS remains the gold standard treatment for post-prostatectomy incontinence (PPI), although most patients with mild-moderate PPI prefer a sling without strong evidence of procedural equivalence. This study compares outcomes of 2 procedures for the treatment of mild-moderate PPI.Methods: A retrospective review of 124 patients (76 transobturator sling, 48 AUS) with mild-moderate PPI requiring intervention over an 8-year period. The primary outcome was continence. Secondary outcomes included global patient satisfaction, improvement, and complication rates. Mild to moderate incontinence was defined as requiring ≤5 pads/day.Results: There was no significant difference in age (66.2 vs. 68.1 years; p = 0.17) or prostate cancer characteristics for slings and AUS, respectively. AUS patients had higher Charlson comorbidity scores and were more likely to have previous radiotherapy. Median length of follow up was 24 months for slings and 42 months for AUS. There was no difference in continence rates, 88.2% vs. 87.5% (p = 0.79), rate of improvement, 94.7% vs. 95.8% (p = 1.00), or patient satisfaction, 93.4% vs. 91.7% (p = 0.73), for slings and AUS, respectively. Complication rates were equivalent (19.7% vs.16.7%; p = 1.00), though a significantly higher proportion of complications with AUS were Clavien Grade 3 (0% vs. 75%; p = 0.006).Conclusions: For mild to moderate PPI there is no difference incontinence, satisfaction, or improvement rates, between AUS and slings. AUS complications tend to be more severe. Our study supports the use of slings as first-line treatment for mild-moderate PPI.

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Steele, Stephen S., i Gregory G. Bailly. "Choosing the right sling for your patient". Canadian Urological Association Journal 11, nr 6S2 (13.06.2017): 132. http://dx.doi.org/10.5489/cuaj.4635.

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Recent data has demonstrated a one in five lifetime risk of a woman requiring stress urinary incontinence (SUI) surgery. Currently, most women opt for a synthetic midurethral sling (MUS), with over 3.6 million placed worldwide. This article attempts to identify whether a gold standard exists with regards to surgical correction of female SUI.When considering which sling type to use for which incontinent woman, the published data demonstrates excellent results for both synthetic mesh (retropubic or transobturator routes) and fascial pubovaginal slings for most patients. Intrinsic sphincter deficiency does appear to be better treated with the use of a retropubic approach, although still with less than stellar results. With little to differentiate, the treatment of most female SUI may be solely based on which sling the surgeon feels most comfortable performing. Currently, most urologists and gynecologists favour synthetic MUS over fascial slings in surgical-naïve patients; however, recent U.S Food and Drug Administration (FDA) warnings concerning the use of mesh in transvaginal surgery have patients questioning the safety of synthetic MUS for the treatment of SUI.

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Sacco, Emilio, Filippo Marino, Filippo Gavi, Stefano Moretto, Carlo Gandi, Riccardo Bientinesi, Francesco Pierconti i Pierfrancesco Bassi. "Protocol for a systematic review and meta-analysis on preoperative risk factors for failure after fixed sling implantation for post-prostatectomy stress urinary incontinence". F1000Research 12 (6.01.2023): 19. http://dx.doi.org/10.12688/f1000research.129182.1.

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Background: Post-prostatectomy urinary incontinence (PPI) is a bothersome complication affecting patients undergoing prostate surgery that in up 10% of cases will require an invasive treatment with fixed slings or artificial urinary sphincters (AUS). Although fixed slings have several advantages over AUS, failure rates after slings range between 15% and 45% while current knowledge of predictors of sling efficacy remains limited. By systematically combining and summarizing all relevant literature, the present review and meta-analysis aim to address this research need assessing the association between preoperative risk factors and sling failure. Methods: Studies pertaining to fixed synthetic male perineal slings as treatment for adult male suffering from PPI, will be included. A systematic search will be conducted in PubMED, Scopus, Web of Science and Cochrane databases, and in the reference lists of retrieved articles. Independent reviewers will conduct study selection and data extraction. Outcomes will include failure to achieve the continence cure and overall success (cure plus improvement), measured as per included studies. Exposures will include any preoperative variables evaluated for association with sling failure. The QUIPS tool will be used for study quality assessment and a random-effects DerSimonian-Laird model, with Hartung-Knapp adjustment, will be used to pool adjusted and unadjusted odds ratios separately. Sensitivity analysis will be performed using the leave-one-out methodology and subgroup meta-analyses based on pre-specified studies’ characteristics will be conducted to explain the heterogeneity. Certainty of evidence will be assessed according to GRADE methodology and review reporting will comply with the PRISMA-P statement. Discussion: By summarising all relevant literature in the field, our results will help to incorporate available evidence into clinical practice assisting healthcare professionals managing PPI patients in treatment decision-making. The present review will also provide researchers with the necessary, evidence-based groundwork to perform future high-quality prognostic studies in the field. Registration: CRD42022307160.

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Vainrib, Michael, Polina Reyblat i David Ginsberg. "Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience". Urologia Internationalis 95, nr 4 (2015): 406–10. http://dx.doi.org/10.1159/000381880.

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Background and Objectives: The mainstay of therapy in patients with neuropathic stress urinary incontinence (nSUI) has been through the use of artificial urinary sphincter (AUS). AUS infection/erosion rates are higher in nSUI patients and these patients tend to be younger, increasing the likelihood of multiple AUS revisions in the future. We review our experience with mesh male slings for patients with nSUI. Methods: A retrospective review of patients who had mesh sling placement. Results: Twenty patients were identified between 2003 and 2011. 14/20 (70%) (5 = AdVance, 8 = InVance, 1 = Virtue) were available for long-term evaluation; in 6/20 (30%) the sling was removed for either infection or perineal wound breakdown. The mean time from injury to male sling was 148.2 (29-449) months. Pre-/post-op fluorourodynamic study was performed in 13 and 7 patients, respectively. There were no significant differences in ALPP (46.4 vs. 55.7 cm H2O, p = 0.106) and MCC (456.6 vs. 608 ml, p = 0.21) in the 7 patients who had a post-op study: five patients had new onset low bladder compliance and two had new onset detrusor overactivity post-sling. With a mean follow-up of 24.7 (1-66) months, 4/14 (28.6%) had no UI. Conclusions: With short-term follow-up, mesh male slings are a feasible option to treat nSUI. There appears to be a lower success rate for UI resolution, which may be attributable to new onset detrusor failure or wound infection requiring sling removal.

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Huber, Sarah A., LaChanda Dunlap-Wright, John R. Miklos i Robert D. Moore. "Concomitant Laparoscopic Burch Urethropexy and Combined Vaginal-Laparoscopic Mesh Sling Removal (x2) for Pain and Persistent Stress Urinary Incontinence". Case Reports in Urology 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/6180756.

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Although midurethral mesh tape slings are considered the standard of care in the treatment of female stress urinary incontinence (SUI), complications such as pain, dyspareunia, or erosion are known to occur in addition to persistent incontinence. The management of these types of mesh sling complications can be very complex, especially when the pain is not just isolated to the vagina but extends into other areas, such as the abdomen which requires a much more extensive dissection. Additionally, if a mesh sling needs to be removed, the patient will most likely have a return of her SUI that often necessitates subsequent treatment. Vaginal and/or laparoscopic removal or revision of mesh tape slings should be considered in patients presenting with complications such as vaginal pain, abdominal pain, dyspareunia, or urinary obstructive symptoms. In those patients who demonstrate persistent SUI, concomitant laparoscopic Burch urethropexy can be considered and can safely be performed at the time mesh removal. In this case report we present a patient who required a dual-approach removal of two painful midurethral slings in addition to concomitant treatment of persistent SUI with a laparoscopic Burch urethropexy procedure.

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