Risk factors for penile prosthesis infection: An umbrella review and meta-analysis.

Background: As available data on implantation-related infections is contradictory, the aim was to identify the predictors of penile prosthesis infection. Methods: We performed an umbrella review and meta-analysis including systematic reviews with extractable data. Literature search was done in two databases: PubMed and Google Scholar. The participants were males with erectile dysfunction regardless of etiology who underwent penile implant surgery. Using a standardized form, three trained researchers reviewed each reference (systematic review) by title and abstract. The meta-analysis was performed using Review Manager 5.4.1 (RevMan® 5.4.1). Results: A total of 78 systematic reviews were identified with the search strategies. Of these, 35 duplicates were removed. Thirty-seven full-text reviews were then excluded after revision. Six systematic reviews with a total of 271,226 patients (156,553 patients in the study group and 114,673 patients in the control group) were included in the meta-analysis. The analysis identified various predictors of adverse outcomes (infection). Among them were glycated hemoglobin (HbA1c) and different characteristics of penile implants. Conclusions: The systematic review and meta-analysis revealed significant risk factors/predictors of penile prosthesis infection: glycated hemoglobin levels; reoperation, and two predictors associated with the type of penile prosthesis. The weighted mean HbA1c levels of patients with and without infections were 8.37% and 7.17% respectively. The OR was as follows: first surgery/revision OR 0.36 (95% CI 0.29-0.45); antibiotic-coated/non-coated prosthesis OR 0.47 (95% CI 0.31-0.72); malleable/inflatable prosthesis OR 3.51 (95% CI 1.41-8.74).

Mathematical Model of Antibiotic Resistance Determinants' Stability Under Space Flight Conditions.

Increasing antibiotic resistance (AR) poses dangers of treatment complications and even treatment failure to astronauts. An AR determinant is a gene of resistance carried by bacteria. This article considers the issue of the stability of AR determinants and the influence of manned spaceflight conditions on this characteristic. A phenomenological model has been developed that makes it possible to evaluate the integral value of the stability of determinants of AR in bacteria as a function of time. Based on experimental results obtained during implementation of the SALYUT 7 space program, the stability of determinants of AR in Escherichia coli strains isolated before and after a spaceflight in 16 astronauts was evaluated. In addition, an assessment was made of the integral value of the stability of determinants of AR in bacteria during in vitro experiments, both in spaceflight and terrestrial conditions, after preincubation in space. The calculation using the developed phenomenological model showed that the stability of AR determinants in E. coli bacteria isolated from astronauts before the spaceflight is 33% higher than after the flight. The in vitro experiment carried out on board the International Space Station showed the opposite situation-an increase in the stability of AR determinants by 33% in cultures that have been in space compared with terrestrial control. This indicates an additional influence on the stability of determinants and of the astronaut's immune system, as well as space conditions. The common result in these two types of studies is the experimental fact that the largest number of bacteria, in space conditions, had two determinants of AR. The importance of fighting bacteria with two determinants is that at least three different antibiotics are required to have an effect. This circumstance makes it possible to predict a possible strategy for the use of antibiotics in autonomous spaceflights.

Antioxidant Properties of New Phenothiazine Derivatives.

Phenothiazine and its derivatives have a number of properties that contribute to their wider practical use in the production of biologically active substances, drugs, dyes, etc. Therefore, the synthesis and study of new compounds is of great relevance. The aim of this work was to investigate the antioxidant activity of a number of new phenothiazine derivatives. The patterns of electroreduction of oxygen and its radicals in the presence of phenothiazine derivatives in aqueous ethanol media were studied by voltammetry. The influence of various factors on antioxidant activity was considered by the methods of experiment planning. The optimal conditions for the manifestation of the antioxidant activity of phenothiazine derivatives have been found, which seems to be relevant since it opens up new possibilities for their further use as complex preparations with antioxidant activity, including in psychiatric practice.

Application of ural glauconite for groundwater deironing and demanganation.

Heavy metals are among the most common pollutants affecting biological systems when ingested with drinking water and food. Heavy metal ions are capable of bioaccumulation in a human body and could cause various metabolic disorders. Here we present the results of using a unique glauconite from the Barguzinsky deposit as an adsorbent for heavy metals. The physicochemical properties of glauconite samples, including the specific surface area, specific pore volume, zeta potential, thermal and elemental analyses and scanning electron microscopy of the surface were studied for different fraction sizes. The sorption properties of the glauconite samples were studied under static conditions for extraction of iron and manganese ions from model solutions. Analysis of the content of the detected ions in solutions and filtrates was performed by the methods of stripping voltammetry. We revealed high sorption properties of glauconite for iron elimination, but comparatively lower ones in removing manganese.

Human Locomotion Strategies Under Changed Bodyweight Support.

INTRODUCTION: The aim of this study was the analysis of human musculoskeletal system energy costs of normal walking and walking under reduced weight loading.METHODS: There were 15 subjects who participated in the study. We analyzed the biomechanical parameters of walking under different musculoskeletal system loads. The subjects walked on a treadmill at a pace of 90 steps/min under various loading conditions: 1) 100% bodyweight loading, corresponding to the terrestrial surface; 2) 38% bodyweight loading, corresponding to the surface of Mars; and 3) 17% bodyweight loading, corresponding to the surface of the Moon. Joint angles and angular velocities were recorded from the hip, knee, and ankle.RESULTS: We analyzed changes in joint phase trajectories and the ratio of kinetic extension energy to kinetic flexion energy in the joints. We observed changes in kinetic energy parameters associated with both flexion and extension motions in the joints of the feet while walking under various loads. In terrestrial conditions (walking under 100% bodyweight), flexion kinetic energy in the hip joint prevailed over extension kinetic energy by 90%, with a small variation equal to 22%. If weight loading decreased up to 17% (lunar conditions), the difference between flexion and extension kinetic energies diminished, and eventually reached only 9%. The ratio of flexion energy and extension energy in the ankle joint equalized under lower loading conditions. Thus, 38% bodyweight loading was sufficient for approximation of flexion and extension energy values.DISCUSSION: Our results revealed that phase trajectories shifted toward smaller joint angles and a decreased ratio between extension kinetic energy and flexion kinetic energy in the knee joint of all subjects. However, significant differences in the ratio of flexion and extension kinetic energy in the knee joint under bodyweight support were not found. The methods used for musculoskeletal system assessments that were proposed in our work can be used in clinical practice to evaluate the effectiveness of rehabilitation measures in a patients musculoskeletal system disorders.Shpakov AV, Artamonov AA, Voronov AV, Plotnikov EV, Puchkova AA, Orlov DO. Human locomotion strategies under changed bodyweight support. Aerosp Med Hum Perform. 2021; 92(1):410.

Studying glauconite of the bakchar deposit (Western Siberia) as a prospective sorbent for heavy metals.

Glauconite is one of natural clay minerals that are low-cost and readily available. Its specific characters, including potassium cations activity, layered structure and absorption capacity, explain the comprehensive interest to this mineral. It is especially prospective in regard of water treatment. Glauconite composition depends on the formation conditions, which lead to different sorption properties. Here we studied the sorption parameters and physical characteristic of unique glauconite of the Bakchar deposit by mean of granulometric analysis, electromagnetic separation, X-ray fluorescence analysis, inductively coupled plasma-mass spectroscopy, petrographic studies, scanning electron microscopy, X-ray diffraction analysis, nitrogen thermal desorption method, inversion voltammetry. Finally, we tested this mineral as a sorbent. The studied glauconitic concentrate has the best comparative sorption properties. Results show that glauconite of the Bakchar deposit is a cheap and prospective sorbent for heavy metals.

Spectra of high energy electron precipitation and atmospheric ionization rates retrieval from balloon measurements.

The bremsstrahlung from high and relativistic energy electron precipitation (HEEP) measured with balloon based instruments provides information on energy spectra and fluence of the precipitating energetic electrons allowing calculations of the atmospheric ionization. HEEP from the outer radiation belt at the subauroral region causes an increase in the ionization rates down to about 20 km altitudes. We study the variability in the ionization rate using the balloon observations of secondary bremsstrahlung initiated by HEEP. For the first time the changes of atmospheric ionization rates on an hourly and minute time scale at different altitudes was retrieved from balloon observations. These new highlights are important for atmospheric electricity that is sensitive to the local condition in the atmosphere including the local ionization rate.

Comparative investigation of antioxidant activity of human serum blood by amperometric, voltammetric and chemiluminescent methods.

INTRODUCTION: A blood test can provide important information about the functional state of the antioxidant system. Malfunction of this system increases the concentration of free radicals and can cause oxidative stress. A difficulty in assessing oxidative stress is the lack of a universal method for determining the antioxidant activity (AOA) of blood components, because of their different nature. MATERIAL AND METHODS: The objects of investigation were sera of 30 male patients with a diagnosis of alcohol dependence syndrome and healthy donors. Comparative investigation of total antioxidant activity (TAA) of human serum blood was carried out by voltammetric (VA), amperometric (AM) and chemiluminescent (HL) methods. RESULTS: All applied methods revealed that serum TAA of the patients with alcoholism is lower than TAA of healthy donors (control group); according to amperometric method the average value of serum TAA was 850 ±210 nA × s, and 660 ±150 nA × s for healthy donors and alcoholics respectively (p < 0.05). Similar trend was revealed by chemiluminescence and voltammetry methods. The results confirm that thiol compounds make a significant contribution to the antioxidant activity of serum. The average thiol concentrations were 0.94 ±0.34 mmol/l and 1.21 ±0.36 mmol/l (p < 0.05) for alcoholics and healthy donors respectively. Decreasing thiol concentration in blood of alcoholics leads to depletion of antioxidant systems of blood. However, the differences between the results of AM, VA and HL methods were significant, because they reflected different aspects of antioxidant activity. CONCLUSIONS: For objective assessment of antioxidant activity of biological objects, we suggest using methods based on different model systems.