Objective:To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis(IPP)and patients’quality of life.Methods:From December 2014 to September 2018,15 patients underwent prosth...Objective:To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis(IPP)and patients’quality of life.Methods:From December 2014 to September 2018,15 patients underwent prosthesis implantation with ZSI 475.A retrospective review of clinical data was performed.Patients’quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis(QoLSPP)questionnaire.Results:The median age of patients was 57 years and the average follow-up time was 22 months.Twelve patients received a standard implantation due to severe erectile dysfunction(ED);three patients also presented penile curvature and additional corporoplasty with grafting was necessary.Three procedures had to be interrupted due to defects of the insertion tools.In one case a manufacturing defect resulted in a pump leak.In one case,a severe postoperative complication occurred,which requested explanation of the device.During the follow-up,four patients experienced mechanical failure of the prosthesis.Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains.Conclusion:In our initial experience,ZSI 475 suffered a high rate of mechanical failures;on the other hand,the company showed great commitment in order to improve the quality and reliability of the device.The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP.展开更多
The objective of the study was to determine the effect of bamboo-wood layer compositions on the properties of bamboo composite lumber. Laboratory scale bamboo composite lumbers （BCLs） with four different core layer ...The objective of the study was to determine the effect of bamboo-wood layer compositions on the properties of bamboo composite lumber. Laboratory scale bamboo composite lumbers （BCLs） with four different core layer materials, i.e., bamboo strips glued vertically, jabon wood plank （Anthocephalus cadamba Miq.）, manii wood plank （Maesopsis eminii Engl.） and sengon wood plank （Falcataria moluccana （Miq.） Barneby ＆ J.W. Grimes） were fabricated using Andong bamboo （Gigantochloa pseudoarundinacea （Steud.） Widjaja） strips glued horizontally as the outer layers and Andong bamboo zephyrs used as the second and the fourth layers. BCLs were manufactured using water based polymer-isocyanate （WBPI） adhesive with the glue spread of 250 g/m2, and the cold pressing time applied was 1 h. Results showed that physical and mechanical properties of BCLs were significantly affected by the layer compositions. The BCL consisted of 100% bamboo strips exhibited higher density （0.754 g/cm3） and mechanical properties （modulus of rupture （MOR） 1,162 kgf/cm2, modulus of elasticity （MOE） 173,757 kgf/cm2, compression strength 644.7 kgf/cm2 and hardness 553 kgf）, compared to BCLs, of which the core layer was made of wood plank （density 0.533 g/cm3, MOR 648 kgf/cm2, MOE 77,893 kgf/cm2, compression strength 389.7 kgf/cm2 and hardness 355 kgf, respectively）. No delamination occurred in all samples, indicating a high bonding quality. BCL made of 100% bamboo strips had strength values comparable to wood strength class I, while BCL with core layer made of wood plank of jabon, manii or sengon had strength values similar to wood strength class III. All BCLs produced are suitable for solid wood substitute.展开更多
文摘Objective:To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis(IPP)and patients’quality of life.Methods:From December 2014 to September 2018,15 patients underwent prosthesis implantation with ZSI 475.A retrospective review of clinical data was performed.Patients’quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis(QoLSPP)questionnaire.Results:The median age of patients was 57 years and the average follow-up time was 22 months.Twelve patients received a standard implantation due to severe erectile dysfunction(ED);three patients also presented penile curvature and additional corporoplasty with grafting was necessary.Three procedures had to be interrupted due to defects of the insertion tools.In one case a manufacturing defect resulted in a pump leak.In one case,a severe postoperative complication occurred,which requested explanation of the device.During the follow-up,four patients experienced mechanical failure of the prosthesis.Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains.Conclusion:In our initial experience,ZSI 475 suffered a high rate of mechanical failures;on the other hand,the company showed great commitment in order to improve the quality and reliability of the device.The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP.
文摘The objective of the study was to determine the effect of bamboo-wood layer compositions on the properties of bamboo composite lumber. Laboratory scale bamboo composite lumbers （BCLs） with four different core layer materials, i.e., bamboo strips glued vertically, jabon wood plank （Anthocephalus cadamba Miq.）, manii wood plank （Maesopsis eminii Engl.） and sengon wood plank （Falcataria moluccana （Miq.） Barneby ＆ J.W. Grimes） were fabricated using Andong bamboo （Gigantochloa pseudoarundinacea （Steud.） Widjaja） strips glued horizontally as the outer layers and Andong bamboo zephyrs used as the second and the fourth layers. BCLs were manufactured using water based polymer-isocyanate （WBPI） adhesive with the glue spread of 250 g/m2, and the cold pressing time applied was 1 h. Results showed that physical and mechanical properties of BCLs were significantly affected by the layer compositions. The BCL consisted of 100% bamboo strips exhibited higher density （0.754 g/cm3） and mechanical properties （modulus of rupture （MOR） 1,162 kgf/cm2, modulus of elasticity （MOE） 173,757 kgf/cm2, compression strength 644.7 kgf/cm2 and hardness 553 kgf）, compared to BCLs, of which the core layer was made of wood plank （density 0.533 g/cm3, MOR 648 kgf/cm2, MOE 77,893 kgf/cm2, compression strength 389.7 kgf/cm2 and hardness 355 kgf, respectively）. No delamination occurred in all samples, indicating a high bonding quality. BCL made of 100% bamboo strips had strength values comparable to wood strength class I, while BCL with core layer made of wood plank of jabon, manii or sengon had strength values similar to wood strength class III. All BCLs produced are suitable for solid wood substitute.
