Summarizing the evidence for robotic-assisted bladder neck reconstruction: Systematic review of patency and incontinence outcomes

Objective:Bladder neck contracture and vesicourethral anastomotic stenosis are difficult to manage endoscopically,and open repair is associated with high rates of incontinence.In recent years,there have been increasing reports of robotic-assisted bladder neck reconstruction in the literature.However,existing studies are small,heterogeneous case series.The objective of this study was to perform a systematic review of robotic-assisted bladder neck reconstruction to better evaluate patency and incontinence outcomes.Methods:We performed a systematic review of PubMed from first available date to May 2023 for all studies evaluating robotic-assisted reconstructive surgery of the bladder neck in adult men.Articles in non-English,author replies,editorials,pediatric-based studies,and reviews were excluded.Outcomes of interest were patency and incontinence rates,which were pooled when appropriate.Results:After identifying 158 articles on initial search,we included only ten studies that fit all aforementioned criteria for robotic-assisted bladder neck reconstruction.All were case series published from March 2018 to March 2022 ranging from six to 32 men,with the median follow-up of 5e23 months.A total of 119 patients were included in our analysis.A variety of etiologies and surgical techniques were described.Patency rates ranged from 50%to 100%,and pooled patency was 80%(95/119).De novo incontinence rates ranged from 0%to 33%,and pooled incontinence was 17%(8/47).Our findings were limited by small sample sizes,relatively short follow-ups,and heterogeneity between studies.

The Dynamic Impact of Ocean on Continent

Around 71% of the Earth’s surface is covered by oceans with depths that exceed several kilometers, while continents are geographically enclosed by these vast bodies of water. The principle of fluid mechanics stipulates that water yields pressure everywhere in the container that holds it, and the water pressure against the wall of container generates force. Ocean basins are naturally gigantic containers of water, in which continents form the walls of the containers. In this study, we present that the ocean water pressure against the walls of continents generates enormous force, and determine the distribution of this force around continents and estimate its amplitude to be of the order of 1017 N per kilometer of continent width. Our modelling suggests that the stresses yielded by this force are mostly concentrated on the upper part of the continental crust, and their magnitudes reach up to 2.0 - 6.0 MPa. Our results suggest that the force may have significantly impacted the dynamics of continent (lithospheric plate) and its evolution.

The Introduction of the Idea of the Hypothetical Magellanica Continent into China during the Seventeenth Century

The idea of the hypothetical Magellanica Continent(Terra Australis Incognita)was introduced into China by the Jesuit missionaries during the seventeenth century.While not accepted by the Chinese government,it was affirmed and transmitted to the public by a few Chinese scholars,including Feng Yingjing,Cheng Bai'er,Zhang Huang,Xiong Mingyu,Xiong Renlin,You Yi,Zhou Yuqi,Jie Xuan,Wang Honghan,and Ye Zipei.Most of them communicated closely with the Jesuit missionaries,and several even helped the missionaries compose the maps.The concept was updated progressively by Matteo Ricci,Giulio Aleni,Johann Adam Schall von Bell,Francesco Sambiasi,and Ferdinand Verbiest.Chinese scholars copied the missionaries'relevant maps and textual introductions without much modification.However,they paid little attention to advancements in the idea,and many of them circulated outdated knowledge.It was not until the middle-and late-nineteenth century that Chinese scholars reexamined the correctness of this hypothetical continent.

Renewable and Green Energy, Africa’s Pathway to Sustainable Development;Harnessing the Continent’s Natural Energy Sources

Renewable energy includes all forms of energy produced from renewable sources in a sustainable manner, including bioenergy, geothermal energy, hydropower, ocean energy, solar energy, and wind energy. Less than one quarter of Africa’s renewable power generation potential is utilized. Africa’s natural endowments are enormous, yet the continent experiences high energy shortage. Amongst the classifications of energy sources, renewable and green energy sources are increasingly gaining popularity due to their sustainable nature and environmental concerns. This paper explores the continent’s natural energy sources and identifies pathways to sustainable development. The paper also narrows the renewable and green energy sources obtainable on the continent and presents their contribution to the development of the continent. The awareness level of Africans towards renewable energy is discussed and the challenges of renewable and green energy sources are highlighted. Finally, the roles to be played by the government and private organizations in the development of renewable and green energy sources in Africa are discussed.

Crustal Composition of China Continent Constrained from Heat Flow Data and Helium Isotope Ratio of Underground Fluid

Based on conservation of energy principle and heat flow data in China continent, the upper limit of 1.3 μW/m3 heat production is obtained for continental crust in China. Furthermore, using the data of heat flow and helium isotope ratio of underground fluid, the heat productions of different tectonic units in China continent are estimated in range of 0.58-1.12 μW/m3 with a median of 0.85 μW/m3. Accordingly, the contents of U, Th and K20 in China crust are in ranges of 0.83-1.76 μg/g, 3.16-6.69 μg/g, and 1.0%-2.12%, respectively. These results indicate that the abundance of radioactive elements in the crust of China continent is much higher than that of Archean crust; and this fact implies China＇s continental crust is much evolved in chemical composition. Meanwhile, significant lateral variation of crustal composition is also exhibited among different tectonic units in China continent. The crust of eastern China is much enriched in incompatible elements such as U, Th and K than that of western China; and the crust of orogenic belts is more enriched than that of platform regions. It can also be inferred that the crusts of eastern China and orogenic belts are much felsic than those of western China and platform regions, respectively, derived from the positive correlation between the heat production and SiO2 content of bulk crust. This deduction is consistent with the results derived from the crustal seismic velocity data in China. According to the facts of the lower seismic velocity of China than the average value of global crust, and the higher heat production of China continent compared with global crust composition models published by previous studies, it is deduced that the average composition models of global continent crust by Rudnick and Fountain （1995）, Rudnick and Gao （2003）, Weaver and Tarney （1984）, Shaw et al. （1986）, and Wedepohl （1995） overestimate the abundance of incompatible elements such as U, Th and K of continental crust.

High-temperature granulites and supercontinents

The formation of continents involves a combination of magmatic and metamorphic processes. These processes become indistinguishable at the crust-mantle interface, where the pressure-temperature（P-T）conditions of（ultra） high-temperature granulites and magmatic rocks are similar. Continents grow laterally, by magmatic activity above oceanic subduction zones（high-pressure metamorphic setting）, and vertically by accumulation of mantle-derived magmas at the base of the crust（high-temperature metamorphic setting）. Both events are separated from each other in time; the vertical accretion postdating lateral growth by several tens of millions of years. Fluid inclusion data indicate that during the high-temperature metamorphic episode the granulite lower crust is invaded by large amounts of low H2O-activity fluids including high-density CO2 and concentrated saline solutions（brines）. These fluids are expelled from the lower crust to higher crustal levels at the end of the high-grade metamorphic event. The final amalgamation of supercontinents corresponds to episodes of ultra-high temperature metamorphism involving large-scale accumulation of these low-water activity fluids in the lower crust.This accumulation causes tectonic instability, which together with the heat input from the subcontinental lithospheric mantle, leads to the disruption of supercontinents. Thus, the fragmentation of a supercontinent is already programmed at the time of its amalgamation.

Evolution of stress fields during the supercontinent cycle

We investigate the evolution of stress fields during the supercontinent cycle using the 2D Cartesian geometry model of thermochemical convection with the non-Newtonian rheology in the presence of floating deformable continents.In the course of the simulation,the supercontinent cycle is implemented several times.The number of continents considered in our model as a function of time oscillates around 3.The lifetime of a supercontinent depends on its dimension.Our results suggest that immediately before a supercontinent breakup,the over-lithostatic horizontal stresses in it(referring to the mean value by the computational area)are tensile and can reach-250 MPa.At the same time,a vast area beneath a supercontinent with an upward flow exhibits clearly the over-lithostatic compressive horizontal stresses of 50-100 МРа.The reason for the difference in stresses in the supercontinent and the underlying mantle is a sharp difference in their viscosity.In large parts of the mantle,the over-lithostatic horizontal stresses are in the range of±25 MPa,while the horizontal stresses along subduction zones and continental margins are significantly larger.During the process of continent-to-continent collisions,the compressive stresses can approximately reach 130 MPa,while within the subcontinental mantle,the tensile over-lithostatic stresses are about-50 MPa.The dynamic topography reflects the main features of the su-percontinent cycle and correlates with real ones.Before the breakup and immediately after the disin-tegration of the supercontinent,continents experience maximum uplift.During the supercontinent cycle,topographic heights of continents typically vary within the interval of about±1.5 km,relatively to a mean value.Topographic maxima of orogenic formations to about 2-4 km are detected along continent-to-continent collisions as well as when adjacent subduction zones interact with continental margins.

ACTIVATION (DIWA) STRUCTURES AND METALLOGENIC FEATURES OF THE CONTINENTAL-TYPE CRUSTOBODIES OF ASIA

Since the end of the Paleozoic, various crustobodies of the Asian continental lithosphere have successively undergone activation, resulting in the formation of widespread diwa-regime mobile belts. This is one of the important events in the evolution-movement history of the Asian continental lithosphere, occupies an important position in the problems of global tectonics and forms a frontier subject in modern geoscience. This paper, from an angle of crustobody geotectonics, discusses the following problems: formation time, distribution 1imits, types, development peculiarities and geotectonic significance of the diwa-regime tectonic element ; geochemical conditions of ore formation, principal mineral associations and ma jor deposit types in diwa structures of the Asian continent and their difference from those in other tectonic elements i and relationships between diwa-type metallogenesis and polygenetic compound and ultragiant ore deposits. Such a discussion can contribute to a better understanding of the tectonic types, distribution pattern and economic value of non-ferrous and rare meta1 endogenic ore deposits, peat, lignite and oil-gas fields.

A review of the development and current status of wound ostomy continence nurses in the mainland of China

Wound ostomy continence nurses(WOC nurses),developed as an important part of clinical nurse specialists play an indispensable role in the management of ostomy,all kinds of chronic wounds and incontinent dermatitis.However,there exists a gap compared with developed countries and regions.This paper provides an overview of WOC nurses in China including origin and development,training and accreditation system,roles,values and management,in order to provide references for the development of WOC nurses in China.

Two-dimensional Numerical Modeling Research on Continent Subduction Dynamics

Continent subduction is one of the hot research problems in geoscience. New models presented here have been set up and two-dimensional numerical modeling research on the possibility of continental subduction has been made with the finite element software, ANSYS, based on documentary evidence and reasonable assumptions that the subduction of oceanic crust has occurred, the subduction of continental crust can take place and the process can be simplified to a discontinuous plane strain theory model. The modeling results show that it is completely possible for continental crust to be subducted to a depth of 120 km under certain circumstances and conditions. At the same time, the simulations of continental subduction under a single dynamical factor have also been made, including the pull force of the subducted oceanic lithosphere, the drag force connected with mantle convection and the push force of the mid-ocean ridge. These experiments show that the drag force connected with mantle convection is critical for continent subduction.

CLIMATOLOGICAL LOW-FREQUENCY OSCILLATION OF OLR OVER THE MARITIME CONTINENT WITH ITS POSSIBLE LINKAGE TO SUMMER PRECIPITATION IN CHINA

Using the 1979-2009 NCEP/NACR reanalysis data and precipitation records in East China, research is performed of the climatological features of low-frequency oscillation(LFO) in OLR over the Maritime Continent(MC) as well as their associations with precipitation disturbance in the eastern part of China. Results suggest that in the MC there is significant climatological low-frequency oscillation(CLFO) in outgoing long-wave radiation(OLR), with the intraseasonal oscillation(30-60 days) being the strongest for April-September, and the MC acting as a high-value region of percentage contributions of low-frequency OLR variance. On the low-frequency time scale there occur four events of more intense active OLR during this time interval. In the January-April(May-August) phase, MC convection is relatively weak(vigorous). The CLFO makes pronounced eastward displacement at tropics, with phase propagation seen longitudinally, too. There occur low-frequency disturbance circulations similar to the EAP wavetrain or P-J teleconnection,starting from the MC via the South China Sea and the Philippines to the Yangtze valley of China. At different phases,the variation in the low-frequency circulations and heating fields shows that the rainfall disturbance in eastern China is likely to be under possible effects of the CLFO from the MC in April-September, and the low-frequency heating variation exhibits a meridional pattern as an EAP wavetrain or P-J teleconnection. As the OLR CLFO is in a peak(valley)phase the low-level divergence or convergence with the reversal at high levels over the MC is related to relatively feeble(robust) low frequency convection, thereby exciting an EAP or P-J wavetrain from the MC to the Sea of Japan. At the higher levels, the South-Asian high is eastward(westward) of normal due to effects of low-frequency cyclones(anticyclones), resulting in less(more) rainfall in the Jiangnan(areas in the middle and lower reaches of Yangtze and to the south of the river) and Hetao(the Great Bend of Yellow River) areas, and increased(decreased) rainfall in SW China,Qinghai Plateau and Gansu. At the conversion phases, low-frequency convection becomes more active in parts of the MC, consequently exciting low-frequency wavetrain of cyclones-anticyclones-cyclones at low levels, making the South-Asian high southward of the mean, so that strong convergent zones emerge in the upper and middle Yangtze basins and Jilin of NE China, responsible for plentiful precipitation there in sharp contrast to the rainfall over the band between the Yellow and Huaihe Rivers and the Yunnan-Guizhou Plateau. These results help understand in depth the climatological LFO characteristics and the phase-locked feature, thereby further improving our understanding of the causes of rainfall disturbances in different parts of the country.

Teleconnection Patterns along the Asian Jet Associated with Different Combinations of Convection Oscillations over the Indian Continent and Western North Pacific during Summer

A zonal teleconnection has been found along the Asian jet over the Eurasian continent during summer. In this study, the authors investigated circulation anomalies in the extratropics, in particular for the zonal teleconnection, under different combinations of subtropical convection anomalies over the northern Indian continent （IND） and the westem North Pacific （WNP）. The outof-phase configuration （i.e., stronger （weaker） IND convection and weaker （stronger） WNP convection） was found to be more common than the in-phase configuration （i.e., stronger （weaker） IND convection and stronger （weaker） WNP convection）, which is consistent with previous results. Composite results indicated that circulation anomalies for out-of-phase configurations of 30-60-day convection oscillations are much stronger in the middle latitudes than those for in-phase configurations. In addition, zonal teleconnection patterns are predominant for the out-of-phase configurations, particularly for the configuration of strong IND convection and weak WNP convec- tion; however, they are either weak or obscure for the in-phase configurations. These results suggest that the zonal teleconnection pattem along the Asian jet is dependent on different combinations of the 1ND and WNP subtropical convection anomalies.

CONNECTION OF THE SOUTH CHINA SEA SUMMER MONSOON TO MARITIME CONTINENT CONVECTION AND ENSO

The relationship between the intensity of the South China Sea summer monsoon （SCSSM） and the Nino3.4 index and anomalous atmospheric circulation patterns associated with a strong and weak SCSSM are investigated using the NCEP/NCAR reanalysis data, Extended Reconstructed Sea Surface Temperature （ERSST） data and Climate Prediction Center Merged Analysis of Precipitation （CMAP） data. The SCSSM is significantly positively correlated with the Nino3.4 index in the succeeding northern autumn and winter. In the strong minus weak SCSSM composite, a positive East Asia-Pacific teleconnection （EAP） pattern and a negative Europe-Asian-Pacific teleconnection （EUP） pattern appear in the 500 hPa height difference field; low-level cross-equatorial flows are strengthened over the Maritime Continent （MC） region; positive （negative） precipitation anomalies occur in the South China Sea and western north Pacific （MC）. A possible mechanism through which SCSSM affects ENSO is proposed. A strong （weak） SCSSM strengthens （weakens） cross-equatorial flows over the MC. The anomalous cross-equatorial flows cool （warm） the SST around the MC through enhanced （reduced） surface latent heat fluxes. The cooling （warming） further leads to suppressed （enhanced） convection over the MC, and causes the anomalous westerly （easterly） in the equatorial western Pacific, which favors the onset of E1 Nino （La Nina） through modulating the positive air-sea feedback process.

Mantle flow beneath the Asian continent and its force to the crust

The mantle unsteady flows, which are in an incompressible and isoviscous spherical shell, are investigated by using algorithms of the parallel Lagrange multiplier dissonant decomposition method (LMDDM) and the parallel Lagrange multiplier discontinuous deformation analyses (LMDDA) in this paper. Some physical fields about mantle flows such as velocity, pressure, temperature, stress and the force to the crust of the Asian continent are calculated on a parallel computer.

Double cores of the Ozone Low in the vertical direction over the Asian continent in satellite data sets

Using four satellite data sets(TOMS/SBUV, OMI, MLS, and HALOE), we analyze the seasonal variations of the total column ozone(TCO) and its zonal deviation(TCO*), and reveal the vertical structure of the Ozone Low(OV) over the Asian continent. Our principal findings are:(1) The TCO over the Asian continent reaches its maximum in the spring and its minimum in the autumn. The Ozone Low exists from May to September.(2) The Ozone Low has two negative cores, located in the lower and the upper stratosphere. The lower core is near 30 hPa in the winter and 70 hPa in the other seasons. The upper core varies from 10 hPa to 1 hPa among the four seasons.(3)The position of the Ozone Low in the lower and the upper stratosphere over the Asian continent shows seasonal variability.

Structural Characteristics and Formation Dynamics: A Review of the Main Sedimentary Basins in the Continent of China

The formation and evolution of basins in the China continent are closely related to the collages of many blocks and orogenic belts. Based on a large amount of the geological, geophysical, petroleum exploration data and a large number of published research results, the basement constitutions and evolutions of tectonic-sedimentary of sedimentary basins, the main border fault belts and the orogenesis of their peripheries of the basins are analyzed. Especially, the main typical basins in the eight divisions in the continent of China are analyzed in detail, including the Tarim, Ordos, Sichuan, Songliao, Bohai Bay, Junggar, Qiadam and Qiangtang basins. The main five stages of superimposed evolutions processes of basins revealed, which accompanied with the tectonic processes of the Paleo-Asian Ocean, Tethyan and Western Pacific domains. They contained the formations of main Cratons （1850-800 Ma）, developments of marine basins （800-386 Ma）, developments of Marine- continental transition basins and super mantle plumes （386-252 Ma）, amalgamation of China Continent and developments of continental basins （252-205 Ma） and development of the foreland basins in the western and extensional faulted basin in the eastern of China （205~0 Ma）. Therefore, large scale marine sedimentary basins existed in the relatively stable continental blocks of the Proterozoic, developed during the Neoproterozoic to Paleozoic, with the property of the intracontinental cratons and peripheral foreland basins, the multistage superimposing and late reformations of basins. The continental basins developed on the weak or preexisting divisional basements, or the remnant and reformed marine basins in the Meso-Cenozoic, are mainly the continental margins, back-arc basins, retroarc foreland basins, intracontinental rifts and pull-apart basins. The styles and intensity deformation containing the faults, folds and the structural architecture of regional unconformities of the basins, responded to the openings, subductions, closures of oceans, the continent-continent collisions and reactivation of orogenies near the basins in different periods. The evolutions of the Tianshan-Mongol-Hinggan, Kunlun-Qilian-Qinling-Dabie-Sulu, Jiangshao-Shiwandashan, Helanshan-Longmengshan, Taihang-Wuling orogenic belts, the Tibet Plateau and the Altun and Tan- Lu Fault belts have importantly influenced on the tectonic-sedimentary developments, mineralization and hydrocarbon reservoir conditions of their adjacent basins in different times. The evolutions of basins also rely on the deep structures of lithosphere and the rheological properties of the mantle. The mosaic and mirroring geological structures of the deep lithosphere reflect the pre-existed divisions and hot mantle upwelling, constrain to the origins and transforms dynamics of the basins. The leading edges of the basin tectonic dynamics will focus on the basin and mountain coupling, reconstruction of the paleotectonic-paleogeography, establishing relationship between the structural deformations of shallow surface to the deep lithosphere or asthenosphere, as well as the restoring proto-basin and depicting residual basin of the Paleozoic basin, the effects of multiple stages of volcanism and paleo- earthquake events in China.

RELATIONSHIP BETWEEN WINTERTIME THERMAL CONTRAST OVER THE ASIAN CONTINENT AND THE CLIMATE IN CHINA

Recent studies indicated that except for the land-sea thermal contrast,there also existed the land-land thermal contrast.The composite analysis and t-test method are used to further study the local thermal contrast variation over the Asian continent,and to discuss the association of seasonal variation of land thermal state with circulation over East Asia,the early summer and summer monsoon activity,and the precipitation anomaly in China in the decadal scale.Results show that the positive meridional temperature anomaly transports downward from upper tropospheric layers in middle-high latitudes north of 25°N in the positive years.In the zonal direction,the Tibetan Plateau heating in the successive spring acts as a force to influence the atmosphere,leading to the rapid temperature warming over eastern Chinese continent,which could increase the land-sea thermal contrast with the negative SSTA.Accordingly,the monsoon activity in early summer over East Asian establishes earlier and the summer monsoon intensity becomes stronger.The early summer precipitation is more-than-normal over the Yangtze River,and the summer precipitation is more-than-normal over the north China and the southwest China.The situation is contrary in the negative years.

Evolution of the deformation and stress patterns of the East Asia continent under multi-driving force

The India plates continuous motion to the north, the convective removal to the thickening lithosphere caused by small-scale mantle convection and the effect of denudation on the uplifted plateau are regarded as main driving forces that make the patterns of stress field of East Asia continent at present time. The method of numerical simulation is used to study the deformation and the stress field of East Asia continent under different boundary conditions, different denudation coefficients and different rock mechanics parameters within a trapezoid geological frame. Comparing with the results obtained by modern space geodetic technique (such as GPS) the results derived from seismological data show that the predicted data by our model can fit them very well. The degree of the fitness in the west is better than that in the east. These results imply that the main driving force of the deformation and the stress patterns of the west part of East Asia continent may come from the collision and compression between the India and the Eurasia plates. The interaction to the Pacific and the Philippines plates in the east part need to be considered. It also shows that the convective removal to the thickening lithosphere caused by small-scale mantle convection and the effect of denudation cannot be negligible in the evolution of the stress patterns.

Evolution of continent ileostomy

Continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an ileostomy.It was devised by Nils Kock in 1969.Subsequently,continent ileostomy (or Kock pouch) became a viable alternative in the management of patients who had traditionally required an end ileostomy.Kock pouch appeared to provide substantial physical and psychosocial benefits over a conventional ileostomy.The procedure became popular until ileal pouch anal anastomosis (IPAA) was introduced in 1980.Despite its benefits,continent ileostomy had many short term complications including intubation problems,ileus,anastomotic leaks,peritonitis and valve problems.Operative mortalities have also been reported in the literature.Most of these problems have been eliminated with increasing experience;however,valverelated problems remain as an "Achilles' heel" of the technique.Many modifications have been introduced to prevent this problem.Some patients have had their pouch removed because of complications mainly related to valve dysfunction.Although revision rates can be high,most of the patients who retain their reservoirs are satisfied with regard to their health status and quality of life.Today,this procedure is still appropriate for selected patients for whom pouch surgery is not possible or for patients who have failed IPAA.Both the patient and their physician must be highly motivated to accept the risk of failure and the subsequent need for revisional operations.

Characteristics of Thermal and Geopotential Height Differences Between Continent and Ocean and Its Role in the Strength of the Asian Summer Monsoon

The interdecadal factors affecting the summer monsoon winds over Somalia and the South China Sea were studied. Global geopotential heights and wind velocity fields of the 850-hPa and 200-hPa pressure levels, as well as sea surface temperature anomaly data and correlation coefficients were analyzed. The monsoons over Somalia and the South China Sea were found to be two different monsoon systems, operating on different mechanisms and being affected by different oceanatmosphere interactions. The intensity of the Asian subtropical summer monsoon is influenced by the intensity of the summer monsoon over Somalia in the month of June and by the intensity of the summer monsoon over the South China Sea in the months of June and July. The summer monsoon wind strength over Somalia is affected by regional factors, such as the heating of the Tibetan plateau, and by global mechanisms, such as the subtropical heat exchange with Antarctica. The summer monsoon over the South China Sea is affected by different ocean-atmosphere interactions. The Somalia and subtropical summer monsoons have wind blowing down the pressure gradient from area over ocean to that over land, like typical summer monsoons. The South China Sea summer monsoon has winds that blow down the pressure gradient from area over land to that over ocean. The South China Sea summer monsoon is affected by the Kuroshio Current off the east coast of Japan.