Prevalence and impact of premature ejaculation in outpatients complaining of ejaculating prematurely: using the instruments of intravaginal ejaculatory latency time and patient-reported outcome measures

This study was designed to assess the impact of premature ejaculation (PE) on a large population of men and their female partners using the instruments of intravaginal ejaculatory latency time (IELT) and patient-reported outcome (PRO) measures. A non-interventional, observational and cross-sectional field survey enrolled 2704 men with self-reported PE and their female partners from January 2010 to January 2012. PE was diagnosed by the International Society for Sexual Medicine (ISSM) criterion. IELT and sexual dysfunction were measured using a stopwatch and PRO measures, respectively. The incidence of PE in this study was 19.27%. PE negatively impacted on subjects and their partners, including reduced ejaculatory control and sexual satisfaction, and increased personal distress and interpersonal difficulty (P<0.001 for all). The severity of PE was considered worse by subjects than by their female partners (P<0.001). Reduced ejaculatory control and sexual satisfaction were considered the central themes of PE. Furthermore, a correlation was observed among the outcomes of IELT and PRO measures for subjects and their partners (absolute correlation coefficient ranged from 0.33 to 0.67). This in-depth qualitative study provides valuable insight into the PE status in Chinese men. Further research is needed to confirm and extend these results.

POLG mutations in Australian patients with mitochondrial disease

BACKGROUND/AIM

The nuclear POLG gene encodes the catalytic subunit of DNA polymerase gamma (polγ), the only polymerase involved in the replication and proofreading of mitochondrial DNA. As a consequence, POLG mutations can cause disease through impaired replication of mitochondrial DNA. To date, over 150 different mutations have been identified, with a growing number of associated phenotypes described. The aim of this study was to determine the prevalence of POLG mutations in an adult population of Australian patients with mitochondrial disease, displaying symptoms commonly associated with POLG-related diseases.

METHODS

The clinical presentations of 322 patients from a specialist adult mitochondrial disease clinic were reviewed. Nineteen exhibited a cluster of three or more predefined clinical manifestations suggestive of POLG-related disease: progressive external ophthalmoplegia, seizures and/or an abnormal electroencephalogram, neuropathy, ataxia, liver function abnormalities, migraine or dysphagia/dysarthria. Patients were screened for mutations by direct nucleotide sequencing of the coding and exon-flanking intronic regions of POLG.

RESULTS

Five of the 19 patients (26%) displaying a phenotype suggestive of POLG-related disease were found to have informative POLG coding mutations (p.T851A, p.N468D, p.Y831C, p.G517V and novel p.P163S variant). Literature and analysis of these mutations revealed that two of these patients had pathogenic mutations known to cause POLG-related disease (patient #1: p.T851A and p.P163S; patient #2: p.T851A and p.N468D).

CONCLUSIONS

We conclude that the prevalence of pathogenic POLG mutations in our selected adult Australian cohort with suggestive clinical manifestations was 10%. A further 16% of patients had POLG variants but are unlikely to be responsible for causing their disease.

Detection of B-mode polarization in the cosmic microwave background with data from the South Pole Telescope

Gravitational lensing of the cosmic microwave background generates a curl pattern in the observed polarization. This "B-mode" signal provides a measure of the projected mass distribution over the entire observable Universe and also acts as a contaminant for the measurement of primordial gravity-wave signals. In this Letter we present the first detection of gravitational lensing B modes, using first-season data from the polarization-sensitive receiver on the South Pole Telescope (SPTpol). We construct a template for the lensing B-mode signal by combining E-mode polarization measured by SPTpol with estimates of the lensing potential from a Herschel-SPIRE map of the cosmic infrared background. We compare this template to the B modes measured directly by SPTpol, finding a nonzero correlation at 7.7σ significance. The correlation has an amplitude and scale dependence consistent with theoretical expectations, is robust with respect to analysis choices, and constitutes the first measurement of a powerful cosmological observable.

First Report of Powdery Mildew Caused by Golovinomyces magnicellulatus var. magnicellulatus on Physalis alkekengi var. franchetii in China

Physalis alkekengi var. franchetii (Mast.) Makino, known as Chinese lantern, belonging to Solanaceae, is cultivated for its fruits of medicinal value in East Asia (4). Since July 2010, a powdery mildew has been continuously observed on this plant in Shenyang City in northeastern China. More than 90% of the plants in a garden were affected. Symptoms first appeared as circular to irregular white patches, which progressed to abundant mycelial growth on both sides of leaves and young stems. In the middle of August, chasmothecia were formed abundantly, especially on the lower leaf surface. Voucher specimens were deposited in the herbarium of Qingdao Agricultural University (HMQAU10014, 12047, and 12144). Conidiophores produced 2 to 5 conidia in chains with a sinuate outline, followed by 2 to 3 cells. Foot-cells of conidiophores were straight and 46 to 65 × 9 to 11 μm. Conidia were ellipsoid to barrel-shaped, 26 to 32 × 13 to 15.5 μm, lacked distinct fibrosin bodies, and produced germ tubes on the subterminal position. Chasmothecia were amphigenous, also cauligenous, 100 to 140 μm across, and contained 10 to 25 asci. Appendages were mycelioid, 0.5 to 4 times as long as the chasmothecial diameter, and 1- to 3-septate. Asci were short-stalked, 45 to 64 × 26 to 34 μm, and contained two ascospores of 18 to 25 × 12.5 to 15 μm. The internal transcribed spacer (ITS) region of rDNA was amplified (3) and sequenced. The resulting 600-bp sequence was deposited in GenBank (Accession No. KC488260). A GenBank BLAST search of complete ITS sequence showed 100% identity with that of Golovinomyces orontii on P. alkekengi var. franchetii (AB077647 ex Japan) and >99% similarity with those of G. magnicellulatus on Phlox paniculata (AB077621 ex Japan, AF011303 ex the United States, and GU945756 and GU945757 ex Korea). G. orontii is currently confined to the Golovinomyces isolates on Cichorioideae (1). On the basis of the morphological characteristics and ITS sequence data, the fungus was identified as G. magnicellulatus var. magnicellulatus (U. Braun) V.P. Heluta (1). It was already noted that Golovinomyces isolates on Physalis and Phlox are phylogenetically close each other (3). A pathogenicity test was conducted by gently pressing a diseased leaf onto leaves of five healthy Chinese lanterns. Five non-inoculated plants served as controls. Inoculated plants developed symptoms after 8 days, whereas the control plants remained symptomless. The fungus present on the inoculated plants was morphologically identical to that originally observed on diseased plants, fulfilling Koch's postulates. Powdery mildews of Chinese lantern associated with Golovinomyces species have been known in Korea and Japan (2). A Korean material of Golovinomyces sp. on P. alkekengi var. franchetii was identified as G. magnicellulatus var. magnicellulatus based on morphological characteristics and 100% ITS sequence identity with a Chinese isolate (Shin, unpublished data). To our knowledge, this is the first report of powdery mildew caused by G. magnicellulatus var. magnicellulatus on Chinese lantern in China. References: (1) U. Braun and R. T. A. Cook. Taxonomic Manual of the Erysiphales (Powdery Mildews), CBS Biodiversity Series No.11. CBS, Utrecht, 2012. (2) D. F. Farr and A. Y. Rossman. Fungal Databases. Syst. Mycol. Microbiol. Lab., Online publication, ARS, USDA, retrieved March 22, 2013. (3) S. Matsuda and S. Takamatsu. Mol. Phylogen. Evol. 27:314, 2003. (4) Y. Zheng et al. Phytochem. Anal. 23:337, 2012.

Pharmacokinetic/pharmacodynamic relationship of marbofloxacin against Pasteurella multocida in a tissue-cage model in yellow cattle

The fluoroquinolone antimicrobial drug marbofloxacin was administered to yellow cattle intravenously and intramuscularly at a dose of 2 mg/kg of body weight in a two-period crossover study. The pharmacokinetic properties of marbofloxacin in serum, inflamed tissue-cage fluid (exudate), and noninflamed tissue-cage fluid (transudate) were studied by using a tissue-cage model. The in vitro and ex vivo activities of marbofloxacin in serum, exudate, and transudate against a pathogenic strain of Pasteurella multocida (P. multocida) were determined. Integration of in vivo pharmacokinetic data with the in vitro MIC provided mean values for the area under the curve (AUC)/MIC for serum, exudate, and transudate of 155.75, 153.00, and 138.88, respectively, after intravenous dosing and 160.50, 151.00, and 137.63, respectively, after intramuscular dosing. After intramuscular dosing, the maximum concentration/MIC ratios for serum, exudate, and transudate were 21.13, 9.13, and 8.38, respectively. The ex vivo growth inhibition data after intramuscular dosing were fitted to the inhibitory sigmoid Emax equation to provide the values of AUC/MIC required to produce bacteriostasis, bactericidal activity, and elimination of bacteria. The respective values for serum were 17.25, 31.29, and 109.62, and slightly lower values were obtained for transudate and exudate. It is proposed that these findings might be used with MIC50 or MIC90 data to provide a rational approach to the design of dosage schedules which optimize efficacy in respect of bacteriological as well as clinical cures.

Osteogenic differentiation of adipose-derived stem cells prompted by low-intensity pulsed ultrasound

OBJECTIVES

Based on in vivo studies, low-intensity pulsed ultrasound (LIPUS) stimulation has been widely used in the clinic for advancing bone growth during healing of non-union alignment, fractures and other osseous defects. In this study, we have investigated osteogenic differentiation of adipose stem cells (ASCs) regulated by LIPUS, and also in a preliminarily manner, we have discussed diverse effects of different duty ratio parameters.

MATERIALS AND METHODS

Mouse adipose stem cells were isolated and osteogenically induced. Then they were treated with LIPUS for 10 min/day for 3 days, 5 days and 7 days, respectively. Finally, effects of LIPUS on osteogenic differentiation of the ASCs were analysed by real-time PCR, western blotting and immunofluorescence.

RESULTS

Our data indicated that LIPUS promoted mRNA levels of runt-related transcription factor 2, osteopontin and osterix in the presence of osteo-induction medium; moreover, protein levels of runt-related transcription factor 2 and osteopontin were upregulated.

CONCLUSIONS

We successfully demonstrated that LIPUS enhanced osteogenesis of ASCs, specially at the duty ratio of 20%.

Low-intensity pulsed ultrasound induced enhanced adipogenesis of adipose-derived stem cells

OBJECTIVE

The aim of this study was to investigate effects of low-intensity pulsed ultrasound (LIPUS) on differentiation of adipose-derived stem cells (ASCs), in vitro.

MATERIALS AND METHODS

Murine ASCs were treated with LIPUS for either three or five days, immediately after adipogenic induction, or delayed for 2 days. Expression of adipogenic genes PPAR-γ1, and APN, was examined by real-time PCR. Immunofluorescence (IF) staining was performed to test for PPAR-γ at the protein level.

RESULTS

Our data revealed that specific patterns of LIPUS up-regulated levels of both PPAR-γ1 and APN mRNA, and PPAR-γ protein.

CONCLUSIONS

In culture medium containing adipogenic reagents, LIPUS enhanced ASC adipogenesis.

First Report of Powdery Mildew Caused by Podosphaera leucotricha on Photinia serrulata in China

Photinia serrulata Franch. & Sav. (syn. P. serratifolia (Desf.) Kalkman), called Chinese photinia, is native to China, Taiwan, Japan, Indonesia, the Philippines, and India. The plants are evergreen shrubs to small trees belonging in the Rosaceae, and are widely cultivated throughout the world for ornamental purposes. Since 2005, severe powdery mildew infection has been observed on this plant in the Chengyang District of Qingdao City in Shandong Province, China. Powdery mildew colonies were circular to irregular white patches on both sides of the leaves and on young stems. As the disease progressed, white mycelial growth covered the entire shoot portion, causing leaf distortion. Voucher specimens (n= 7) were deposited in the herbarium of Qingdao Agricultural University, China. Hyphae were flexuous to straight, branched, septate, 4 to 6 μm wide, and had nipple-shaped appressoria. Conidiophores arising from the upper part of the hyphae were 110 to 185 × 9 to 12 μm and produced two to six immature conidia in chains with a crenate outline. Foot cells of conidiophores were straight, 30 to 40 μm long, and cylindric to somewhat attenuated toward the base. Conidia were hyaline, ellipsoid-ovoid, 22 to 32 × 13.5 to 20 μm (length/width ratio = 1.5 to 1.9), and had distinct fibrosin bodies. No chasmothecia were observed. The structures and measurements were compatible with those of the anamorphic state of Podosphaera leucotricha (Ellis & Everh.) E.S. Salmon as described by Braun (2). To confirm the identification, the complete internal transcribed spacer (ITS) region of the rDNA was amplified with nested PCR (4) and sequenced. The resulting sequence of 562 bp was deposited in GenBank (Accession No. JQ999954). A GenBank BLAST search of this sequence revealed 100% identity with that of seven isolates of P. leucotricha on rosaceous plants. Pathogenicity was confirmed through inoculation tests by gently pressing diseased leaves onto young leaves of three asymptomatic, potted 3-year-old photinia plants. Three non-inoculated plants were used for a control treatment. Plants were maintained in a greenhouse at 22 ± 2°C. Inoculated leaves developed symptoms after 5 days, whereas the control plants remained symptomless. The fungus present on the inoculated leaves was morphologically identical to that observed on the original diseased leaves, fulfilling Koch's postulates. The powdery mildew infections of P. serrulata associated with P. leucotricha have been recorded in New Zealand, Ukraine, Italy, and the United States (1,3). To our knowledge, P. leucotricha on P. serrulata has not been reported in Asia except for a record of a Podosphaera sp. on P. serratifolia in Japan (3). Since this ornamental shrub is native to China and nearby countries, occurrence of powdery mildew in China poses a potential threat to the health of photinia in other places. References: (1) E. Baldacci. Rev. Appl. Mycol. 16:358, 1937. (2) U. Braun. Beih. Nova Hedw. 89:1, 1987. (3) D. F. Farr and A. Y. Rossman. Fungal Databases, Systematic Mycology and Microbiology Laboratory, ARS, USDA. Retrieved from , May 14, 2012. (4) Y. Matsuda et al. Phytopathology 95:1137, 2005.

Identification of novel coding mutation in C1qA gene in an African-American pedigree with lupus and C1q deficiency

OBJECTIVES

Homozygous C1q deficiency is an extremely rare condition and strongly associated with systemic lupus erythematosus. To assess and characterize C1q deficiency in an African-American lupus pedigree, C1q genomic region was evaluated in the lupus cases and family members.

METHODS

Genomic DNA from patient was obtained and C1q A, B and C gene cluster was sequenced using next generation sequencing method. The identified mutation was further confirmed by direct Sanger sequencing method in the patient and all blood relatives. C1q levels in serum were measured using sandwich ELISA method.

RESULTS

In an African-American patient with lupus and C1q deficiency, we identified and confirmed a novel homozygote start codon mutation in C1qA gene that changes amino acid methionine to arginine at position 1. The Met1Arg mutation prevents protein translation (Met1Arg). Mutation analyses of the patient's family members also revealed the Met1Arg homozygote mutation in her deceased brother who also had lupus with absence of total complement activity consistent with a recessive pattern of inheritance.

CONCLUSION

The identification of new mutation in C1qA gene that disrupts the start codon (ATG to AGG (Met1Arg)) has not been reported previously and it expands the knowledge and importance of the C1q gene in the pathogenesis of lupus especially in the high-risk African-American population.

3 T MRI of hepatocellular carcinomas in patients with cirrhosis: does T2-weighted imaging provide added value?

AIM

To assess whether T2-weighted imaging (T2WI) provides any added value for the detection of hepatocellular carcinoma (HCC) in patients with cirrhosis, especially for lesions smaller than 2 cm.

MATERIALS AND METHODS

Sixty-five patients with cirrhosis underwent liver 3 T MRI. Images were qualitatively analysed independently by two observers in two separate sessions, including a dynamic enhanced session and a combination of dynamic and T2WI. The diagnostic accuracy was evaluated using the alternating free-response receiver operating characteristic. Sensitivity and positive predictive values were calculated for all HCCs and for the subgroup of HCCs that were smaller than 2 cm. Additionally, artefacts on T2WI were evaluated by two observers in consensus.

RESULTS

Ninety HCCs (>2 cm n = 36; ≤2 cm n = 54) were detected in 46 patients. For all HCCs and for lesions smaller than 2 cm, the sensitivities were significantly higher for the combined session than the dynamic session alone (p < 0.05). Conversely, for the Az and positive predictive values, there was no significant difference between the two sessions. For smaller HCC, 9% (5/54) and 7% (4/54) of the 54 HCCs were correctly interpreted by observers 1 and 2, respectively, only when T2WI was included. Three false-positive lesions (≤2 cm) were correctly diagnosed by one of the observers after combining T2WI. Conspicuity of only one large HCC was severely reduced by the artefacts from massive ascites.

CONCLUSION

At 3 T liver imaging, combining with T2WI can improve the sensitivity of detection of HCC compared with dynamic MRI alone by increasing observer confidence, especially for lesions smaller than 2 cm. Additionally, T2 image quality was not significantly affected by artefacts.

Detection of coronary artery anomalies by dual-source CT coronary angiography

AIM

To retrospectively evaluate the clinical value of dual-source computed tomography (DSCT) coronary angiography in the diagnosis of coronary artery anomalies.

MATERIALS AND METHODS

A large cohort of 3625 consecutive patients, who underwent DSCT coronary angiography in our institute, was reviewed for coronary artery anomalies. All images were evaluated by two experienced readers using axial source images, multi-planar reformations (MPR), maximum intensity projections (MIP) and volume rendering (VR). Coronary artery anomalies were found in 36 patients (male 20, female 16, mean age 48 years, range 15-76 years). Of the 36 patients, 19 patients also underwent conventional coronary angiography (CCA).

RESULTS

The incidence of coronary artery anomalies was 0.99% (36/3625). Six different types of coronary artery anomalies were diagnosed by DSCT coronary angiography: (1) 11 anomalies of the right coronary artery; (2) five anomalies of the left coronary artery; (3) 10 anomalies of the left circumflex artery; (4) two single coronary artery; (5) one anomalous pulmonary origin of the coronary artery; (6) seven coronary artery fistula. Evaluation of the CCA resulted in a precise diagnosis in 53% (10/19) patients.

CONCLUSION

DSCT coronary angiography is a good diagnostic tool to examine coronary artery anomalies.