To evaluate the efficacy of intravaginal electrical stimulation (IVES) added to bladder training (BT) on incontinence-related quality of life (QoL) and clinical parameters in women with idiopathic ...overactive bladder (OAB).
Sixty-two women with idiopathic OAB were randomized into two groups using the random numbers generator as follows: Group 1 received BT alone (n:31), and Group 2 received BT+IVES (n:31). IVES was performed for twenty minutes three days a week over a course of eight weeks for a total of 24 sessions. Patients were evaluated in terms of incontinence severity (24-hour pad test), pelvic floor muscles strength (perineometer), 3-day voiding diary (frequency of voiding, nocturia, incontinence episodes and number of pads), symptom severity (OAB-V8), incontinence-related QoL (IIQ-7), treatment success (positive response rate), cure/improvement rate and treatment satisfaction (Likert scale).
A statistically significant improvement was found in all parameters for all groups at the end of the treatment compared to the baseline values except pelvic floor muscles strength in Group 1 (p < 0.05). At the end of treatment, incontinence severity, frequency of voiding, nocturia, incontinence episodes, number of pads, symptom severity, and QoL were significantly improved in Group 2 compared to Group 1 (p < 0.05). Treatment satisfaction, cure/improvement, and positive response rates were significantly higher in group 2 compared to Group 1 (p < 0.05).
We conclude that BT+IVES were more effective than BT alone on both incontinence-related QoL and clinical parameters in women with idiopathic OAB.
Background/aim
Diabetic peripheral neuropathy (DPN) is the most common complication of diabetes mellitus (DM). The Michigan Neuropathy Screening Instrument (MNSI) is a simple, brief, and useful ...screening tool that was designed to assess DPN. The aim of this study was to develop a Turkish version of the MNSI and assess its reliability and validity.
Materials and methods
Eighty-three patients with DM who were divided into two groups according the results of nerve conduction studies (NCS) as having DPN or without DPN were enrolled in this cross-sectional study. The Toronto clinical scoring system, pain detect questionnaire, and NCS were assessed along with the MNSI.
Results
Each section of the MNSI was internally consistent (Cronbach’s alpha > 0.70), and the scores of both sections were positively correlated with total MNSI score (
r
= 0.938;
r
= 0.908, respectively,
p
< 0.001). The test–retest reliability of the Turkish version of the MNSI was determined as 0.99 for the total score (intraclass correlation coefficient = 0.996). Using the agreement between MNSI scores and DPN diagnosis by NCS as a gold standard, receiver-operating characteristic (ROC) curve values for section A and section B were estimated as 0.973 and 1.00, respectively. When a cut-off value ≥ 3.0 in section A and a cut-off value ≥ 2.0 in section B were used, we obtained a sensitivity of 97.6% and 100%; a specificity of 63.4% and 97.6%; a positive predictive value of 72.7% and 97.6%; and a negative predictive value of 96.3% and 100%, respectively.
Conclusion
The Turkish version of MNSI is a reliable and valid tool for screening DPN in Turkish patients.
The formation of hydrogen sulfide (H2S) in petroleum reservoirs by anaerobic microbial activity (through sulfate-reducing microorganisms, SRMs) is called biogenic souring of reservoirs and poses a ...risk in the petroleum industry as the compound is extremely toxic, flammable, and corrosive, causing devastating damage to reservoirs and associated surface facilities. In this paper, we present a workflow and the tools to assess biogenic souring from a pragmatic engineering perspective. The retention of H2S in the reservoir due to the reactions with iron-bearing rock minerals (e.g., siderite) is shown in a theoretical approach here and supported with literature data. Cases are provided for two fields under secondary (waterflooding) and tertiary flooding with microbial enhanced oil recovery (MEOR). The use of the Monte Carlo method as a numerical modeling tool to incorporate uncertainties in the measured physical/chemical/biochemical data is demonstrated as well. A list of studies conducted with different chemicals alone or in combination with various biocides to mitigate biogenic souring provides an overview of potential inhibitors as well as possible applications. Furthermore, the results of static and dynamic inhibition tests using molybdate are presented in more detail due to its promising mitigation ability. Finally, a three-step workflow for the risk assessment of biogenic souring and its possible mitigation is presented and discussed.
Objectives
The aim of this study was to develop a Turkish version of the painDETECT questionnaire (PD‐Q) and assess its reliability and validity.
Methods
Two hundred and forty patients who were ...diagnosed by expert pain physicians in daily clinical practice and classified as having either neuropathic, nociceptive, or mixed pain for at least 3 months were enrolled in this study. After the usual translation process, the Turkish version of the PD‐Q was administered to each participant twice with an interval of 48 hours. The Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), Douleur Neuropathique en 4 questions (DN4) and a pain visual analog scale were assessed along with the PD‐Q. Chronbach's α was calculated to evaluate internal consistency of the PD‐Q. Intraclass correlation coefficient was calculated to examine test‐retest reliability. Convergent validity was assessed by correlating the scale with LANSS and DN4. Discriminant statistics—sensitivity, specificity, Youden index, positive predictive value, negative predictive value—were also assessed.
Results
A total of 240 patients with chronic pain, 80 patients in each neuropathic, nociceptive, and mixed pain group, were included in this study. Mean age of the patients was 54.1 years, and majority of the patients were female (52.9%). Chronbach's α of the Turkish version of the PD‐Q was 0.81. The test‐retest reliability of the Turkish version of the PD‐Q was determined as 0.98 for the total score and ranged from 0.86 to 0.99 for individual items. The Turkish version of the PD‐Q was possitively and significantly corralated with LANSS (r 0.89, P < 0.001) and DN4 (r 0.82, P < 0.001). When the two cutoff values in the original version were used, sensitivity was found 77.5% for a cutoff value ≤19, and specificity was 82.5%. Sensitivity and specificity were 90% and 67.5%, respectively, for the other cutoff value ≤12. Scores ≤12 represents a negative predictive value = 87%, and scores 19≤ represents a positive predictive value = 82%. When mixed pain patients were included in the neuropathic pain group, discriminant values were reduced as expected.
Conclusions
The Turkish version of the PD‐Q is a reliable and valid scale to be used to determine neuropathic component of chronic pain in Turkish patients.
In today’s industry, H2 is mostly produced from fossil fuels such as natural gas (NG), oil, and coal through various processes. However, all these processes produce both carbon dioxide (CO2) as well ...as H2, making them questionable in terms of climate change mitigation efforts. In addition to efforts to increase the conversion efficiency of green H2 technologies, work is also underway to make H2 production from fossil fuels more environmentally friendly by reducing/avoiding CO2 emissions. In this framework, these technologies are combined with geologic carbon storage. In a further step, the use of depleted hydrocarbon reservoirs for in situ H2 production is being investigated, with the co-generated CO2 remaining permanently in the reservoir. The objective of this paper is to provide a brief overview of the technologies that can be used to produce H2 from depleted and depleting hydrocarbon reservoirs (DHRs) in various ways. We evaluate the required processes from a reservoir engineering perspective, highlighting their potential for H2 generation and their technology readiness level (TRL) for applications. We also investigate the possibility of permanently storing the co-produced CO2 in the reservoir as a means of mitigating emissions. In addition, we provide a preliminary cost analysis to compare these methods with conventional hydrogen production techniques, as well as an assessment of operational risks and associated cost estimates.
Microbiologically active environments, like oil reservoirs, can suffer a range of problems due to the presence of sulfate-reducing microorganisms. These include, but are not limited to: H2S ...formation, souring and corrosion. To prevent biogenic sulfate reduction, nitrate can be used as an environmentally friendly alternative to biocides. However, side effects of nitrate injection are sometimes observed but not well understood. In our study, we used original water from an onshore reservoir, where a microbial enhanced oil recovery (MEOR) application is planned, and investigated the effects of nitrate addition on H2S generation, mineral precipitation and microbiology. We observed that nitrate did inhibit H2S formation in most, but not all cases. During nitrate reduction, iron and calcite minerals precipitated over short- and long-term (10 or 160 days) incubations. This was caused by a nitrate-reducing group of bacteria belonging to the family Deferribacteraceae. Using dynamic sandpack setups and numerical modeling approaches with the simulator TOUGHREACT, we observed significant reduction in permeabilities (∼44×) suggesting injectivity issues over time in case nitrate is continuously added to the reservoir. Our study shows that nitrate-dependent processes, which were described separately for pure-cultures before, are also valid for natural mixed communities present in oil fields and underlines the complex interplay of microbial metabolisms associated with those communities.
•Nitrate addition to reservoir water induced iron and calcite mineral precipitation.•The minerals were microbially induced by nitrate-reducing bacteria.•Mineral precipitation during nitrate treatment led to reduction of permeability.
Integrity of wellbores and near wellbore processes are crucial issues in geological carbon storage (GCS) projects as they both define the confinement and injectivity of CO2. For the proper ...confinement of CO2, any flow of CO2 along the wellbore trajectory must be prevented using engineered barriers. The effect of cyclic stimuli on wellbore integrity, especially in the context of GCS projects, has been given less attention. In this study, the effect of pressure- and temperature-cycling on two types of wellbore composites (i.e., casing-cement and cement-caprock) have been investigated experimentally in small- and large-scale laboratory setups. The experiments have been carried out by measuring the effective permeability of the composites under pressure and thermal cyclic conditions. Furthermore, the permeability of individual samples (API class G and HMR+ cement and caprock) was measured and compared to the permeability of the composites. The results indicate that the permeability of API class G cement when exposed to CO2 is in the order of 10−20 m2 (10−5 mD) as a result of the chemical reaction between the cement and CO2. In addition, the tightness of the composite cement–rock has been confirmed, while the permeability of the composite casing–cement falls within the acceptable range for tight cement and the CO2 flow was identified to occur through or close to the interface casing–cement. Results from thermal cycling within the range −9 to 14 °C revealed no significant effect on the integrity of the bond casing–cement. In contrast, pressure cycling experiments showed that the effective pressure has a larger influence on the permeability. The potential creation of micro-cracks under pressure variations may require some time for complete closing. In conclusion, the pressure and temperature cycling from this study did not violate the integrity of the casing–cement composite sample as the permeability remained low and within the acceptable range for wellbore cement.
•Vestibular rehabilitation supported with virtual reality appears to be effective in elderly patients with dizziness.•Virtual reality-based vestibular rehabilitation is superior to conventional ...vestibular rehabilitation therapy alone.•The implementation of the virtual reality environment in the vestibular rehabilitation program may be useful.
To investigate the effect of vestibular rehabilitation exercises supported with virtual reality containing real-life environments on dizziness, static and dynamic balance, functional mobility, fear of falling, anxiety, and depression in elderly patients with dizziness.
In this prospective randomized controlled study, 32-patients aged 65-years and older who applied to the otorhinolaryngology clinic with dizziness complaint randomly assigned to 2 groups. In Group 1 (n=16), vestibular rehabilitation program, supported with virtual reality, and in Group 2 (n=16), conventional vestibular rehabilitation program was applied 30-min a day, 5 sessions per week, 15 sessions in total for 3 weeks. Subjects were evaluated with The Vertigo Symptom Scale (VSS), Dizziness Handicap Inventory (DHI), Berg Balance Test (BBT) and Timed Up & Go Test (TUG), Falls Efficacy Scale-International (FES-I), Postural Stability Test (PST), Geriatric Depression Scale (GDS), Hamilton Anxiety Scale (HAS) at baseline, at the end of the treatment and 6-months after the treatment.
Statistically significant improvements were seen in the DHI emotional subscale and TUG in Group 1 compared to Group 2 at the end of the treatment in elderly with dizziness (p<0.05). Also, there were significant improvements in the VSS, all DHI subgroups, and total scores, BBT, HAS in Group 1 compared to Group 2 at the 6-months after the treatment (p<0.05).
The application of vestibular rehabilitation in a virtual reality environment can lead to additional improvements especially in dizziness symptoms, disability, balance, and mobility in the elderly with chronic dizziness.