Artificial urinary sphincter implantation in the irradiated patient:safety, efficacy and satisfaction

Objective To compare the long-term outcome of artificial urinary sphincter (AUS) implantation in patients after prostatectomy, with and with no history of previous irradiation.

Patients and methods The study included 98 men (mean age 68 years) with urinary incontinence after prostatectomy for prostate cancer (85 radical, 13 transurethral resection) who had an AUS implanted. Twenty-two of the patients had received adjuvant external beam irradiation before AUS implantation. Over a mean (range) follow-up of 46 (5-118) months, the complication and surgical revision rates were recorded and compared between irradiated and unirradiated patients. The two groups were also compared for the resolution of incontinence and satisfaction, assessed using a questionnaire.

Results Overall, surgical revision was equally common in irradiated (36%) and unirradiated (24%) patients. After activating the AUS, urethral atrophy, infection and erosion requiring surgical revision were more common in irradiated patients (41% vs 11%; P <0.05); 70% of patients reported a significant improvement in continence, regardless of previous irradiation. Patient satisfaction remained high, with >80% of patients stating that they would undergo surgery again and/or recommend it to others, despite previous Irradiation and/or the need for surgical revision.

Conclusions Despite higher complication and surgical revision rates in patients who have an AUS implanted and have a history of previous Irradiation, the long-term continence and patient satisfaction appear not to be adversely affected.

THE ARTIFICIAL URINARY SPHINCTER - A NEW SOLUTION FOR INCONTINENT PATIENTS

Treatment of urinary incontinence with the artificial urinary sphincter has been available in centres such as London and Liverpool for a number of years. This service is now available in the department of urology of the Belfast City Hospital. Twelve patients have had successful implantation of an artificial urinary sphincter for urinary incontinence, and ten are now fully continent. One patient with Wegener's granulomatosis developed active disease in his urethra which has precluded activation of the device. One patient has had the device removed because of erosion into the urethra.

Is China's fifth-largest inland lake to dry-up? Incorporated hydrological and satellite-based methods for forecasting Hulun Lake water levels

Hulun Lake, China's fifth-largest inland lake, experienced severe declines in water level in the period of 2000-2010. This has prompted concerns whether the lake is drying up gradually. A multi-million US dollar engineering project to construct a water channel to transfer part of the river flow from a nearby river to maintain the water level was completed in August 2010. This study aimed to advance the understanding of the key processes controlling the lake water level variation over the last five decades, as well as investigate the impact of the river transfer engineering project on the water level. A water balance model was developed to investigate the lake water level variations over the last five decades, using hydrological and climatic data as well as satellite-based measurements and results from land surface modelling. The investigation reveals that the severe reduction of river discharge (-364±64 mm/yr, ∼70% of the five-decade average) into the lake was the key factor behind the decline of the lake water level between 2000 and 2010. The decline of river discharge was due to the reduction of total runoff from the lake watershed. This was a result of the reduction of soil moisture due to the decrease of precipitation (-49±45 mm/yr) over this period. The water budget calculation suggests that the groundwater component from the surrounding lake area as well as surface run off from the un-gauged area surrounding the lake contributed ∼ net 210 Mm3/yr (equivalent to ∼ 100 mm/yr) water inflows into the lake. The results also show that the water diversion project did prevent a further water level decline of over 0.5 m by the end of 2012. Overall, the monthly water balance model gave an excellent prediction of the lake water level fluctuation over the last five decades and can be a useful tool to manage lake water resources in the future.

Modeling of titanium alloys by using artificial neural networks

Titanium alloy exhibits an excellent combination of bio-compatibility, corrosion resistance, strength and toughness. The microstructure of an alloy influences the properties. The microstructures depend mainly on alloying elements, method of production, mechanical, and thermal treatments. The relationships between these variables and final properties of the alloy are complex, non-linear in nature, which is the biggest hurdle in developing proper correlations between them by conventional methods. So, we developed artificial neural networks (ANN) models for solving these complex phenomena in titanium alloys.

In the present work, ANN models were used for the analysis and prediction of the correlation between the process parameters, the alloying elements, microstructural features, beta transus temperature and mechanical properties in titanium alloys. Sensitivity analysis of trained neural network models were studied which resulted a better understanding of relationships between inputs and outputs. The model predictions and the analysis are well in agreement with the experimental results. The simulation results show that the average output-prediction error by models are less than 5% of the prediction range in more than 95% of the cases, which is quite acceptable for all metallurgical purposes.

Artificial Neural Network for Compositional Ionic Liquid Viscosity Prediction

Being a new generation of green solvents and high-tech reaction media of the future, ionic liquids have increasingly attracted much attention. Of particular interest in this context are room temperature ionic liquids (in short as ILs in this paper). Due to the relatively high viscosity, ILs is expected to be used in the form of solvent diluted mixture with reduced viscosity in industrial application, where predicting the viscosity of IL mixture has been an important research issue. Different IL mixture and many modelling approaches have been investigated. The objective of this study is to provide an alternative model approach using soft computing technique, i.e., artificial neural network (ANN) model, to predict the compositional viscosity of binary mixtures of ILs [C _n-mim][NTf ₂] with n=4, 6, 8, 10 in methanol and ethanol over the entire range of molar fraction at a broad range of temperatures from T=293.0-328.0K. The results show that the proposed ANN model provides alternative way to predict compositional viscosity successfully with highly improved accuracy and also show its potential to be extensively utilized to predict compositional viscosity taking account of IL alkyl chain length, as well as temperature and compositions simultaneously, i.e., more complex intermolecular interactions between components in which it would be hard or impossible to establish the analytical model. This illustrates the potential application of ANN in the case that the physical and thermodynamic properties are highly non-linear or too complex. © 2012 Copyright the authors.

Artificial neural network model to predict compositional viscosity over a broad range of temperatures

The objective of this study is to provide an alternative model approach, i.e., artificial neural network (ANN) model, to predict the compositional viscosity of binary mixtures of room temperature ionic liquids (in short as ILs) [C _n-mim] [NTf ₂] with n=4, 6, 8, 10 in methanol and ethanol over the entire range of molar fraction at a broad range of temperatures from T=293.0328.0K. The results show that the proposed ANN model provides alternative way to predict compositional viscosity successfully with highly improved accuracy and also show its potential to be extensively utilized to predict compositional viscosity over a wide range of temperatures and more complex viscosity compositions, i.e., more complex intermolecular interactions between components in which it would be hard or impossible to establish the analytical model. © 2010 IEEE.

Non-parametric bill of quantities estimation of concrete road bridges' superstructure: an artificial neural networks approach

Bridge construction responds to the need for environmentally friendly design of motorways and facilitates the passage through sensitive natural areas and the bypassing of urban areas. However, according to numerous research studies, bridge construction presents substantial budget overruns. Therefore, it is necessary early in the planning process for the decision makers to have reliable estimates of the final cost based on previously constructed projects. At the same time, the current European financial crisis reduces the available capital for investments and financial institutions are even less willing to finance transportation infrastructure. Consequently, it is even more necessary today to estimate the budget of high-cost construction projects -such as road bridges- with reasonable accuracy, in order for the state funds to be invested with lower risk and the projects to be designed with the highest possible efficiency. In this paper, a Bill-of-Quantities (BoQ) estimation tool for road bridges is developed in order to support the decisions made at the preliminary planning and design stages of highways. Specifically, a Feed-Forward Artificial Neural Network (ANN) with a hidden layer of 10 neurons is trained to predict the superstructure material quantities (concrete, pre-stressed steel and reinforcing steel) using the width of the deck, the adjusted length of span or cantilever and the type of the bridge as input variables. The training dataset includes actual data from 68 recently constructed concrete motorway bridges in Greece. According to the relevant metrics, the developed model captures very well the complex interrelations in the dataset and demonstrates strong generalisation capability. Furthermore, it outperforms the linear regression models developed for the same dataset. Therefore, the proposed cost estimation model stands as a useful and reliable tool for the construction industry as it enables planners to reach informed decisions for technical and economic planning of concrete bridge projects from their early implementation stages.