Prevalence and Risk Factors of Stress Urinary Incontinence Among Perimenopausal Women and Its Influence on Daily Life in Women with Sexual Desire Problem

The prevalence of,and related factors to,stress urinary incontinence (SUI) among perimenopausal Chinese women and its impact on daily life among those women with sexual desire problem in Hubei province were investigated.In this study,1519 perimenopausal women aged 40 to 65 years were selected from three urban communities in the Wuhan area,and two impoverished,mountainous communities in Hubei province,and followed from April to October 2014.Detailed information about demographic characteristics,menstruation,pregnancy,sexual life and chronic diseases was collected.A cross-sectional survey was carried out following information collection by Chi-square test and multiple logistic regression analysis.Univariate and multivariate logistic regression analysis demonstrated that the potential factors associated with developing SUI were old age (OR=3.4,95% CI:1.92-6.04),vaginal delivery (OR=0.623,95% CI:0.45-0.87),low income (OR=0.063,95% CI:0.40-0.92),atrophic vaginitis (OR=1.4,95% CI:1.03-1.80),pelvic organ prolapse (OR=2.81,95% CI:1.36-5.80),chronic pelvic pain (OR=2.17,95% CI:1.90-4.03),constipation (OR=1.44,95% CI:1.07-1.93) and incontinence of feces (OR=3.32,95% CI:2.03-5.43).Moreover,the ratio of SUI (33.2%) was higher than the ratio of urgency urinary incontinence (24.1 %) or the ratio of mixed urinary incontinence (17.4%),and SUI had a greater impact on daily life among women with decreased sexual desire.In conclusion,SUI is a common disorder affecting over one third of the women surveyed,and has a severe impact on the daily life of perimenopausal women with declined sexual desire.Age,mode of delivery,and monthly income are major risk factors involved in the development of SUI.

Reflections and standing waves on the Tianlai cylinder array

In 21 cm intensity mapping,the spectral smoothness of the foreground is exploited to separate it from the much weaker 21 cm signal.However,the non-smooth frequency response of the instrument complicates this process.Reflections and standing waves generate modulations on the frequency response.Here we report the analysis of the standing waves in the bandpass of the signal channels of the Tianlai Cylinder Array.By Fourier transforming the bandpass into the delay time domain,we find various standing waves generated on the telescope.A standing wave with time delay at~142 ns is most clearly identified which is produced in the 15-meter feed cable.We also identify a strong peak at a shorter delay ofτ<50 ns,which may be a mix of the standing wave between the reflector and feed,and the standing wave on the 4 m intermediate frequency(IF)cable.We also show that a smoother frequency response could be partially recovered by removing the reflection-inducted modulations.However,the standing wave on the antenna is direction-dependent,which poses a more difficult challenge for high precision calibration.