Bloomsinger5357

An enterocele is a peritoneal herniation through or into the vagina, typically as a posterior enterocele, which develops in the rectovaginal space (pouch of Douglas or cul-de-sac). An anterior enterocele in the vesicovaginal space is a rare condition, but a possible complication after cystectomy or hysterectomy. Herein, we report a rare case of anterior enterocele after cystectomy, which required semi-urgent intervention. The patient was a 78-year-old woman (gravida 2, para 2) who underwent laparoscopic radical cystectomy for bladder carcinoma 3 months earlier. Vaginal examination showed a large stage-3 anterior enterocele without the covering vaginal wall. A transvaginal surgery was performed to repair the vagina. Mesh and Martius flaps were needed to repair the vaginal defect. In conclusion, an anterior enterocele must be suspected when pelvic organ prolapse occurs after cystectomy, and surgical repair should be performed as soon as possible because an enterocele that lacks vaginal wall covering is at high risk of rupture.

To generate dynamic, volumetric maps of hyperpolarized [1-

C]pyruvate and its metabolic products in vivo.

Maps of chemical species were generated with iterative least squares (IDEAL) reconstruction from multiecho echo-planar imaging (EPI) of phantoms of thermally polarized

C-labeled chemicals and mice injected with hyperpolarized [1-

C]pyruvate on a preclinical 3T scanner. The quality of the IDEAL decomposition of single-shot and multishot phantom images was evaluated using quantitative results from a simple pulse-and-acquire sequence as the gold standard. Time course and area-under-the-curve plots were created to analyze the distribution of metabolites in vivo.

Improved separation of chemical species by IDEAL, evaluated by the amount of residual signal measured for chemicals not present in the phantoms, was observed as the number of EPI shots was increased from one to four. Dynamic three-dimensional metabolite maps of [1-

C]pyruvate,[1-

C]pyruvatehydrate, [1-

C]lactate, [1-

C]bicarbonate, and [1-

C]alanine generated by IDEAL from interleaved multishot multiecho EPI of live mice were used to construct time course and area-under-the-curve graphs for the heart, kidneys, and liver, which showed good agreement with previously published results.

IDEAL decomposition of multishot multiecho 13C EPI images is a simple, yet robust method for generating high-quality dynamic volumetric maps of hyperpolarized [1-

C]pyruvate and its products in vivo and has potential applications for the assessment of multiorgan metabolic phenomena.

IDEAL decomposition of multishot multiecho 13C EPI images is a simple, yet robust method for generating high-quality dynamic volumetric maps of hyperpolarized [1-13 C]pyruvate and its products in vivo and has potential applications for the assessment of multiorgan metabolic phenomena.Conventional nickel-rich cathode materials suffer from reaction heterogeneity during electrochemical cycling particularly at high temperature, because of their polycrystalline properties and secondary particle morphology. Despite intensive research on the morphological evolution of polycrystalline nickel-rich materials, its practical investigation at the electrode and cell levels is still rarely discussed. click here Herein, an intrinsic limitation of polycrystalline nickel-rich cathode materials in high-energy full-cells is discovered under industrial electrode-fabrication conditions. Owing to their highly unstable chemo-mechanical properties, even after the first cycle, nickel-rich materials are degraded in the longitudinal direction of the high-energy electrode. This inhomogeneous degradation behavior of nickel-rich materials at the electrode level originates from the overutilization of active materials on the surface side, causing a severe non-uniform potential distribution during long-term cycling. In addition, this phenomenon continuously lowers the reversibility of lithium ions. Consequently, considering the degradation of polycrystalline nickel-rich materials, this study suggests the adoption of a robust single-crystalline LiNi0.8 Co0.1 Mn0.1 O2 as a feasible alternative, to effectively suppress the localized overutilization of active materials. Such an adoption can stabilize the electrochemical performance of high-energy lithium-ion cells, in which superior capacity retention above ≈80% after 1000 cycles at 45 °C is demonstrated.In commemorating the 40th anniversary of Risk Analysis, this article takes a retrospective look at some of the ways in which decision analysis (as a "sibling field") has contributed to the development both of the journal, and of risk analysis as a field. I begin with some early foundational papers from the first decade of the journal's history. I then review a number of papers that have applied decision analysis to risk problems over the years, including applications of related methods such as influence diagrams, multicriteria decision analysis, and risk matrices. The article then reviews some recent trends, from roughly the last five years, and concludes with observations about the parallel evolution of risk analysis and decision analysis over the decades-especially with regard to the importance of representing multiple stakeholder perspectives, and the importance of behavioral realism in decision models. Overall, the extensive literature surveyed here supports the view that the incorporation of decision-analytic perspectives has improved the practice of risk analysis.As attractive materials for photoeletrochemical hydrogen evolution reaction (PEC HER), conjugated polymers (e.g., conjugated acetylenic polymers [CAPs]) still show poor PEC HER performance due to the associated serious recombination of photogenerated electrons and holes. Herein, taking advantage of the in situ conversion of nanocopper into Cu2 O on copper cellulose paper during catalyzing of the Glaser coupling reaction, a general strategy for the construction of a CAPs/Cu2 O Z-scheme heterojunction for PEC water reduction is demonstrated. The as-fabricated poly(2,5-diethynylthieno[3,2-b]thiophene) (pDET)/Cu2 O Z-scheme heterojunction exhibits a carrier separation efficiency of 16.1% at 0.3 V versus reversible hydrogen electrode (RHE), which is 6.7 and 1.4-times higher respectively than those for pDET and Cu2 O under AM 1.5G irradiation (100 mW cm-2 ) in the 0.1 m Na2 SO4 aqueous solution. Consequently, the photocurrent of the pDET/Cu2 O Z-scheme heterojunction reaches ≈520 µA cm-2 at 0.3 V versus RHE, which is much higher than pDET (≈80 µA cm-2 ), Cu2 O (≈100 µA cm-2 ), and the state-of-the-art cocatalyst-free organic or organic-semiconductor-based heterojunctions/homojunctions photocathodes (1-370 µA cm-2 ).