The descriptive epidemiology of congenital and acquired cryptorchidism in a UK infant cohort.

INTRODUCTION: Recent studies in other European countries suggest that the prevalence of congenital cryptorchidism continues to increase. This study aimed to explore the prevalence and natural history of congenital cryptorchidism in a UK centre. METHODS: Between October 2001 and July 2008, 784 male infants were born in the prospective Cambridge Baby Growth Study. 742 infants were examined by trained research nurses at birth; testicular position was assessed using standard techniques. Follow-up assessments were completed at ages 3, 12, 18 and 24 months in 615, 462, 393 and 326 infants, respectively. RESULTS: The prevalence of cryptorchidism at birth was 5.9% (95% CI 4.4% to 7.9%). Congenital cryptorchidism was associated with earlier gestational age (p<0.001), lower birth weight (p<0.001), birth length (p<0.001) and shorter penile length at birth (p<0.0001) compared with other infants, but normal size after age 3 months. The prevalence of cryptorchidism declined to 2.4% at 3 months, but unexpectedly rose again to 6.7% at 12 months as a result of new cases. The cumulative incidence of "acquired cryptorchidism" by age 24 months was 7.0% and these cases had shorter penile length during infancy than other infants (p = 0.003). CONCLUSIONS: The prevalence of congenital cryptorchidism was higher than earlier estimates in UK populations. Furthermore, this study for the first time describes acquired cryptorchidism or "ascending testis" as a common entity in male infants, which is possibly associated with reduced early postnatal androgen activity.

Landing gear for a 'silent' aircraft

The Silent Aircraft Initiative aims to provide a conceptual design for a large passenger aircraft whose noise would be imperceptible above the background level outside an urban airfield. Landing gear noise presents a significant challenge to such an aircraft. 1/10th scale models have been examined with the aim of establishing a lower noise limit for large aircraft landing gear. Additionally, the landing gear has been included in an integrated design concept for the 'Silent' Aircraft. This work demonstrates the capabilities of the closed-section Markham wind tunnel and the installed phased microphone arrays for aerodynamic and acoustic measurements. Interpretation of acoustic data has been enhanced by use of the CLEAN algorithm to quantify noise levels in a repeatable way and to eliminate side lobes which result from the microphone array geometry. Results suggest that highly simplified landing gears containing only the main struts offer a 12dBA reduction from modern gear noise. Noise treatment of simplified landing gear with fairings offers a further reduction which appears to be limited by noise from the lower parts of the wheels. The importance of fine details and surface discontinuities for low noise design are also underlined.