Article
Medicine, General & Internal
Kuba Ptaszkowski, Bartosz Malkiewicz, Romuald Zdrojowy, Malgorzata Paprocka-Borowicz, Lucyna Ptaszkowska
Summary: This study aimed to objectively assess the elasticity of the pelvic floor during rest and contraction in postmenopausal women using shear wave elastography and electromyography. Results showed higher elasticity in the pelvic floor during active muscle contraction, indicating shear wave elastography as an effective method for objectively assessing pelvic floor muscle strength.
Article
Obstetrics & Gynecology
Breffini C. Anglim, George Tomlinson, Joalee Paquette, Colleen D. McDermott
Summary: This study aimed to determine the perioperative characteristics associated with an increased risk of postoperative urinary retention (POUR) following vaginal pelvic floor surgery. Through comparing 18 variables, including age, menopausal status, and intraoperative blood loss, a POUR risk calculator has been developed to help physicians predict the risk of POUR and provide potential management options for patients preoperatively.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Health Care Sciences & Services
Gali Dar, Tamar Sharon Saban
Summary: This study examined the self-perception of pelvic floor muscle (PFM) contractions in women receiving repeated verbal instructions during exercise classes, as well as the prevalence and severity of urinary stress incontinence. The results showed that most women were able to correctly contract their PFM, but there was a lack of voluntary contractions during leg movement. However, the instruction group had a higher perception of PFM contraction during knee flexion towards the chest. Women who received instructions to contract their PFM had less severe incontinence compared to the control group.
Article
Medicine, General & Internal
Chieh-Yu Chang, Feng-Hsiang Tang, Kun-Ling Lin, Yi-Yin Liu, Zi-Xi Loo, Cheng-Yu Long
Summary: This study investigated the effects of extracorporeal magnetic innervation (ExMI) therapy on the bladder neck (BN) and urinary symptoms in women with stress urinary incontinence (SUI). The findings suggest that ExMI therapy is effective for SUI by strengthening the pelvic floor muscle without significantly decreasing BN mobility. The therapy resulted in a significant reduction in urinary frequency and SUI incidence, improved pelvic floor muscle strength, and showed positive effects on female sexual function.
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION
(2023)
Article
Urology & Nephrology
Lucilia C. da Fonseca, Fernanda Bacchi Ambrosano Giarreta, Thais V. Peterson, Priscila Katsumi Matsuoka Locali, Edmund C. Baracat, Elizabeth A. Goncalves Ferreira, Jorge Milhem Haddad
Summary: This study compared the effectiveness of laser therapy and pelvic floor physical therapy in treating stress urinary incontinence in postmenopausal women. The results showed that laser therapy was more effective in reducing urinary leakage and had a greater impact on patients' quality of life.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Dermatology
Lin Gao, Yuanli Wang, Wei Wen, Yunyan Duan, Zhaoyang Li, Erle Dang, Peng Li, Lei Yu, Chenxi Zhou, Meiheng Lu, Gang Wang
Summary: Vaginal fractional CO2 laser treatment can improve the biomechanical and physiological properties of the vagina, leading to increased vaginal tightening and improved pelvic floor structures. The treatment resulted in significant improvements in female sexual function, vaginal health, and urinary incontinence. Additionally, imaging and histological examinations confirmed the positive effects of the treatment.
LASERS IN SURGERY AND MEDICINE
(2023)
Review
Obstetrics & Gynecology
Rachel S. Worman, Ryan E. Stafford, David Cowley, Caroline Baldini Prudencio, Paul W. Hodges
Summary: This study systematically reviewed the evidence for increased pelvic floor muscle tone in various pelvic health conditions. The results showed that despite the large number of studies, only a few provided convincing evidence for increased tone/overactivity of pelvic floor muscles in pelvic health conditions. The interpretation of the findings was hampered by design and measurement issues, and terminology was often inaccurate. Few studies explored the effects in male, transgender, and pediatric populations.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Article
Gastroenterology & Hepatology
Lori J. Tuttle, Ali Zifan, Jessica Swartz, Ravinder K. Mittal
Summary: The study found that biofeedback therapy incorporating concentric resistance exercise did not significantly improve anal sphincter muscle function or AI symptoms compared to traditional non-resistance biofeedback therapy.
NEUROGASTROENTEROLOGY AND MOTILITY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Cong You, Yujiao Zhao, Cheng Zhang, Mengyao Chen, Wen Shen
Summary: This study investigated pelvic floor changes in primiparas with postpartum stress urinary incontinence (SUI) after vaginal delivery using pelvic floor MRI. The results suggest that increased retrovesicourethral angle, shortened functional urethral length, and the presence of bladder funnel may be important anatomical predictors for SUI in the early postpartum period.
INSIGHTS INTO IMAGING
(2023)
Article
Sport Sciences
Kristina Lindquist Skaug, Marie Ellstrom Engh, Helena Frawley, Kari Bo
Summary: This study investigated the prevalence, risk factors, and bother of pelvic floor dysfunction (PFD) in Norwegian powerlifters and Olympic weightlifters, as well as their knowledge of pelvic floor muscles (PFM). The study found a high prevalence of PFD in these athletes, and they had limited knowledge about PFM.
JOURNAL OF STRENGTH AND CONDITIONING RESEARCH
(2022)
Article
Orthopedics
Flavia Ignacio Antonio, Kari Bo, Caroline Caetano Pena, Sabrina M. Bueno, Elaine Cristine Lemes Mateus-Vasconcelos, Ana Carolina Nociti Lopes Fernandes, Cristine Homsi Jorge Ferreira
Summary: This study investigated the effect of intravaginal electrical stimulation on the ability of women with involuntary pelvic floor muscles contraction to contract their muscles voluntarily and reduce urinary incontinence. The results showed that after 8 weeks of intervention, the experimental group exhibited significant improvement in pelvic floor muscle contraction ability compared to the control group, as well as a reduction in the severity of urinary incontinence symptoms.
JOURNAL OF PHYSIOTHERAPY
(2022)
Article
Health Policy & Services
Livia Oliveira Bezerra, Maria Clara Eugenia de Oliveira, Edson Meneses da Silva Filho, Halana Karolina Vicente da Silva, Gabriela Ferreira Menezes de Oliveira, Ana Katherine da Silveira Goncalves, Rodrigo Pegado, Maria Thereza Albuquerque Barbosa Cabral Micussi
Summary: The study showed that combining PFMT with GT did not significantly improve PFM pressure, urinary incontinence, or perception of improvement compared to PFMT alone in women with mixed urinary incontinence. However, both treatments were effective in relieving symptoms of urinary incontinence.
GAMES FOR HEALTH JOURNAL
(2021)
Review
Chemistry, Multidisciplinary
Aikaterini Evangelia Matsi, Evdokia Billis, Sofia Lampropoulou, Sofia A. Xergia, Maria Tsekoura, Konstantinos Fousekis, Bruno Chrcanovic
Summary: Pelvic floor muscle training with biofeedback has a significant effect on the treatment of urinary incontinence in women, particularly in terms of muscle strength and severity of incontinence. The impact on quality of life and social life is inconclusive.
APPLIED SCIENCES-BASEL
(2023)
Article
Health Care Sciences & Services
Melanie Le Berre, Johanne Filiatrault, Barbara Reichetzer, Chantale Dumoulin
Summary: This study aims to assess the feasibility, acceptability, and effects of an online adaptation of a pelvic floor muscle training program for urinary incontinence in older women.
Article
Obstetrics & Gynecology
Antima Rathore, Jyotsna Suri, Sugandha Agarwal, Pratima Mittal
Summary: Pelvic floor muscle strength and thickness are significantly lower in women with stress urinary incontinence compared to continent women, both antenatally and postnatally. The study showed a positive correlation between the digital assessment and transperineal ultrasound methods in measuring these factors.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2021)
Article
Gastroenterology & Hepatology
Joao Pedro Sousa Ferreira, Miguel Jose da Quinta E Costa de Mascarenhas Saraiva, Joao Pedro Lima Afonso, Tiago Filipe Carneiro Ribeiro, Helder Manuel Casal Cardoso, Ana Patricia Ribeiro Andrade, Miguel Nuno Gameiro de Mascarenhas Saraiva, Marco Paulo Lages Parente, Renato Natal Jorge, Susana Isabel Oliveira Lopes, Guilherme Manuel Goncalves de Macedo
Summary: A deep learning model capable of automatically detecting ulcers and erosions in PillCam(TM) Crohn's Capsule images was developed for the first time. The model showed high sensitivity and specificity in detecting ulcers and erosions.
JOURNAL OF CROHNS & COLITIS
(2022)
Article
Engineering, Biomedical
Leonor Mendonca, Carla F. Santos, Fernanda Gentil, Marco Parente, Bruno Areias, Renato Natal Jorge
Summary: This study utilized a computational middle ear model to investigate the influence of cholesteatoma growth on hearing function. The results showed that cholesteatoma development leads to decreases in tympanic membrane and stapes displacements, ultimately resulting in hearing loss.
PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE
(2022)
Article
Obstetrics & Gynecology
Maria C. P. Vila Pouca, Joao P. S. Ferreira, Marco P. L. Parente, Renato M. Natal Jorge, James A. Ashton-Miller
Summary: This study aimed to determine which labor management practices are less prone to accumulate damage in the pelvic floor muscles during the second stage of labor and find the optimum approach in terms of minimizing the risk of pelvic floor muscle injury.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Nutrition & Dietetics
Ana Rita Marinho, Milton Severo, Sofia Vilela, Raquel Costa, Blandine de Lauzon-Guillain, Duarte Torres, Carla Lopes
Summary: This study examines the association between dietary patterns at 4 years old and cognitive abilities at 10-13 years old, and explores whether adiposity mediates these associations. The results suggest that unhealthy dietary patterns at early age are associated with lower cognitive abilities in children, and this association does not seem to be mediated by adiposity.
CLINICAL NUTRITION
(2022)
Article
Computer Science, Interdisciplinary Applications
M. I. A. Barbosa, J. Belinha, R. M. Natal Jorge, A. X. Carvalho
Summary: This study developed a new computational model using the Radial Point Interpolation Method to simulate cell proliferation. The experiment found that an integration scheme of 6 x 6 per integration cell and influence-domains with only seven nodes can predict cellular growth and division with the best balance between relative error and computing cost. It was also observed that using irregular meshes does not influence the solution. The results indicate that the algorithm might be a potential tool to study cell proliferation and the Radial Point Interpolation Method is a suitable method for this type of process.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2022)
Editorial Material
Engineering, Biomedical
Joao Manuel R. S. Tavares, Renato Natal Jorge
COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING-IMAGING AND VISUALIZATION
(2022)
Article
Chemistry, Multidisciplinary
Fernanda Gentil, Marco Parente, Carla Santos, Bruno Areias, Renato Natal Jorge
Summary: Tympanosclerosis is an abnormal disorder of the middle ear or eardrum due to recurrent ear infections. A 3D finite element model was developed to simulate different cases of tympanosclerosis, and the magnitude and phase angle of umbo and stapes displacement were obtained. The middle ear sound transfer function was determined for different stimulus levels and frequencies applied to the outer surface of the eardrum. It was found that worse outcomes (hearing loss) occur when the entire ossicular chain is affected by tympanosclerosis.
APPLIED SCIENCES-BASEL
(2023)
Article
Oncology
Sara Monteiro-Reis, Joao P. S. Ferreira, Ricardo A. Pires, Joao Lobo, Joao A. Carvalho, Rui L. Reis, Renato Natal Jorge, Carmen Jeronimo
Summary: This study found that the presence of a tumor can alter the stiffness of the bladder wall, which may affect the progression of bladder cancer. Using atomic force microscopy, the researchers measured the micromechanical properties of the bladder wall layers and observed that tumors promote the development of muscle-like structures in the mucosa.
Review
Engineering, Biomedical
M. I. A. Barbosa, J. Belinha, R. M. Natal Jorge, A. X. Carvalho
Summary: Cell proliferation is crucial for the development and stability of the human body. However, disruptions in the cell cycle can lead to severe problems, such as tumor development. Mathematical and computational models are used to understand and study these biological mechanisms, including cell proliferation.
INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING
(2023)
Article
Chemistry, Multidisciplinary
Carla F. F. Santos, Ricardo Bastos, Renato Andrade, Rogerio Pereira, Marco P. L. Parente, Renato Natal Jorge, Joao Espregueira-Mendes
Summary: An ACL tear, a severe sports injury common among young athletes, is poorly understood, particularly regarding the role of external rotation in the injury mechanism. This study used a finite element model to evaluate knee kinetics and found that combined knee valgus, flexion, tibial external rotation, and high axial load result in higher ACL stress and strain. The study highlights the significance of external rotation and the need for further research in this area. The findings contribute to the prevention, diagnosis, and treatment of ACL injuries.
APPLIED SCIENCES-BASEL
(2023)
Article
Biotechnology & Applied Microbiology
Carlos Aurelio Andreucci, Elza M. M. Fonseca, Renato N. Jorge
Summary: Oral maxillofacial rehabilitation of the atrophic maxilla commonly requires vertical and horizontal bone augmentation, with the standard technique being maxillary sinus augmentation. The rupture of the sinus membrane during this procedure increases the risk of contamination. A new bioactive kinetic screw (BKS) bone implant model simplifies and performs autogenous grafting, sinus augmentation, and implant fixation in a single step.
BIOENGINEERING-BASEL
(2023)
Article
Biotechnology & Applied Microbiology
Ana Pais, Jorge Lino Alves, Renato Natal Jorge, Jorge Belinha
Summary: In this study, the elastic and plastic properties of two TPMS-based cellular structures (gyroid and primitive surface) were analyzed using numerical homogenization. Material laws for the homogenized Young's modulus and yield stress were developed and found to be consistent with experimental data. The developed material laws can be used to optimize functionally graded structures for various applications. A case study on an optimized femoral stem showed that a porous stem made of Ti-6Al-4V can minimize stress shielding while maintaining load-bearing capacity. Additionally, the stiffness of the cementless femoral stem implant with graded gyroid foam was comparable to trabecular bone, with lower maximum stress.
BIOENGINEERING-BASEL
(2023)
Article
Computer Science, Interdisciplinary Applications
Daniel E. S. Rodrigues, Jorge Belinha, Renato Natal Jorge
Summary: The study investigates process improvement and optimization of printed parts in Fused Filament Fabrication (FFF) by using the Radial Point Interpolation Method (RPIM) for numerical simulation. Meshless methods in this field show particular relevance as nodes can be distributed to match the printing process, without facing mesh distortions. The study highlights the importance of meshless techniques in obtaining accurate results.
ENGINEERING COMPUTATIONS
(2023)
Article
Food Science & Technology
Sofia Almeida Costa, Milton Severo, Daniela Correia, Catarina Carvalho, Vania Magalhaes, Sofia Vilela, Sara Cunha, Susana Casal, Carla Lopes, Duarte Torres
Summary: This study compares different methodological approaches to estimate daily Bisphenol A (BPA) exposure in Portuguese adolescents and adults, and examines the associations between exposure and sociodemographic characteristics. The results indicate that the Portuguese population is exposed to unsafe levels of BPA, exceeding the safety levels proposed by the European Food Safety Authority (EFSA).
FOOD RESEARCH INTERNATIONAL
(2023)
Proceedings Paper
Computer Science, Interdisciplinary Applications
M. I. A. Barbosa, J. Belinha, R. M. Natal Jorge, A. Carvalho
Summary: This article investigates the simulation of cell proliferation using a new algorithm and obtaining results through a meshless method. The research demonstrates that the algorithm is capable of simulating cell proliferation under different conditions.
COMPUTER METHODS, IMAGING AND VISUALIZATION IN BIOMECHANICS AND BIOMEDICAL ENGINEERING II
(2023)