Objectives: To investigate the effect and mechanism of a Chinese medicine (Epimedium brevicornum Maxim [EbM]) on elicitation of penile erection in the rat.
Methods: Adult male Sprague-Dawley rats were used. The penile intracavernous pressure (ICP) was monitored. Intracavernous administration of different doses (30, 100, 300, 1000, 3000, 6500, and 10,000 microg/0.1 mL) of EbM extract and saline 0.1 mL was done. Intracavernous NG-nitro-L-arginine methyl ester (L-NAME) (120 microg) was administered, followed by EbM extract 300 microg 10 minutes later. EbM extract (20, 10, and 10 microg) was stereotaxically delivered into the intracerebral ventricle, paraventricular nucleus of the hypothalamus, and hippocampus, respectively.
Results: After intracavernous administration of 30 or 100 microg EbM extract, no significant change in ICP was noted. All other doses (300 to 10,000 microg) of EbM extract elicited a significant increase in ICP, with the greatest peak at 99.7 +/- 0.3 mm Hg (resting 7.8 +/- 1.0 mm Hg) after application of 6500 microg EbM extract. No change in ICP occurred with administration of L-NAME followed by EbM extract. Furthermore, intracavernous saline or administration of EbM extract into the intracerebral ventricle, paraventricular nucleus of the hypothalamus, or hippocampus was ineffective in inducing a significant change in ICP.
Conclusions: These results suggest that intracavernous administration of EbM extract may elicit penile erection in the rat. Nitric oxide may be involved in this penile erection-inducing effect. No central neural effect of EbM extract may exist in the elicitation of penile erection.
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http://dx.doi.org/10.1016/j.urology.2005.09.051 | DOI Listing |
JSLS
January 2025
Department of Obstetrics and Gynecology, NYU Langone Health Grossman School of Medicine, New York, New York, USA. (Drs. V. Shah, Munoz, and Huang).
Background And Objectives: Operating rooms (ORs) are critical for hospital revenue and cost management, with utilization efficiency directly affecting financial outcomes. Traditional surgical scheduling often results in suboptimal OR use. We aim to build a machine learning (ML) model to predict incision times for robotic-assisted hysterectomies, enhancing scheduling accuracy and hospital finances.
View Article and Find Full Text PDFInt Urogynecol J
January 2025
Research Center for Evidence-Based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Attar-E-Neishabouri Sqr., Tabriz, 51666, Iran.
Introduction And Hypothesis: When adopting new methods, surgeons may experience a period of complexity and longer operation times because of their inexperience. This period is known as the "learning curve." This study was aimed at systematically reviewing the current literature on functional urology learning curves.
View Article and Find Full Text PDFPain Manag Nurs
January 2025
Clinical Research Development Unit of Tabriz Valiasr Hospital, University of Medical Sciences, Tabriz, Iran. Electronic address:
Purpose: Transcutaneous Electrical Acupoint Stimulation (TEAS) is a noninvasive technique that involves the application of electrical stimulation to specific acupoints on the skin. This meta-analysis aimed to evaluate the clinical efficacy of TEAS in alleviating postoperative pain after gynecological surgeries.
Method: A systematic search of multiple electronic databases was carried out to identify relevant studies that investigated the use of TEAS for postoperative pain management in gynecological surgery settings.
Clin Res Hepatol Gastroenterol
January 2025
Evidence-Based Medicine Center, School of Basic Medical Science, Lanzhou University, 730000, Lanzhou, China; Centre for Evidence-Based Social Science/Center for Health Technology Assessment, School of Public Health, Lanzhou University, 730000, Lanzhou, China; Gansu Key Laboratory of Evidence-Based Medicine, Lanzhou University, 730000, Lanzhou, China. Electronic address:
Background: Acute liver failure (ALF) poses a significant threat to patient health with high mortality rates. While Non-Bioartificial Artificial Liver Support system (NBALSS) has been utilized as a transitional intervention to liver transplant, its efficacy remains uncertain, It is also used as a last-line treatment for patients who are not candidates for liver transplantation.
Objective: The aim of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the efficacy of NBALSS in treating acute liver failure (ALF).
Dev Neurorehabil
January 2025
Clinical Research Development Unit of Tabriz Valiasr Hospital, University of Medical Sciences, Tabriz, Iran.
Background: Cerebral palsy (CP) is one of the most important causes of disability across the globe. Transcutaneous electrical nerve stimulation (TENS) has been proposed as a potential adjunct therapy.
Objective: This systematic review aims to explore the application of TENS in the rehabilitation of individuals with CP.
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