RigiScan data under long-term testosterone therapy: improving long-term blood circulation of penile arteries,penile length and girth,erectile function,and nocturnal penile tumescence and duration

Background: Late-onset hypogonadism (LOH) presents with low serum testosterone (TT) levels and sexual and nonsexual symptoms. Erectile dysfunction affects a man’s self-esteem and as a result partner relationship and quality of life.

Objectives: To investigate the andrological clinical profile outcomes of testosterone therapy (TTh) in men (n?=?88) with symptomatic LOH complaints and symptoms.

Main outcome measures: Erectile function was assessed using the International Index of Erectile Function-5 questionnaire at baseline and at 6 and 12 months of TTh. In addition, penile length was measured at baseline and 12 months. We also evaluated nocturnal penile tumescence (NPT, using RigiScan) and blood flow of cavernous arteries (penile Doppler ultrasonography) at baseline and 12 months of TT.

Materials and methods: Eighty-eight LOH men (M_age 51.1 years) with erectile dysfunction, all with serum TT?<10.4?nmol/L before TTh. Patients received intramuscular long-acting testosterone undecanoate for 12 months.

Results: Following TTh, in all patients, serum TT levels were restored within 3 months to normal levels. Compared with baseline values, erectile function significantly improved at 6 (mean score increase 1.95) and 12 months (mean score increase 2.16). No significant changes in penile length were observed. NPT significantly improved at 12 months in terms of both the frequency (mean increase 1.27 times) and duration of rigidity (mean increase 5.12?min). As regards the blood flow of the cavernous arteries, we observed a significant improvement (decrease of 1.16?cm/s) and end diastolic velocity of the penile arteries.

Conclusion: TTh in men with LOH resulted in improvement of the erectile function, NPT, and to some extent the blood flow of the cavernous arteries.     

Culture,Structure, and the Refugee Experience in Somali Immigrant Family Transformation

This analysis suggests a theoretical refinement of migrant acculturation theories to deal specifically with refugee acculturation experiences. Using the case of family dynamics among Somali refugees in Minnesota, we find that the same factors that are theorized to affect voluntary migrants are also important for refugees. Specifically, the nature of exit from the sending society, the reception in a new location, and group characteristics all appear to be important. However, within the category of exit from the sending society, there are specific concerns that will be more relevant to refugees than to “voluntary” migrants. Specifically, the ongoing condition of the sending society and the effects of any transitions on transnational ties are critically important in the refugee context. We demonstrate how the societal upheaval that created the Somali refugee community also affected culture and connections within Somalia, and how this has an ongoing impact on the US Somali refugee community. We argue that it is valuable to refine the acculturation framework when considering refugees.     

Assessment of multidimensional poverty and effectiveness of microfinance-driven government and NGO projects in the rural Bangladesh

This paper has developed a multidimensional model usable in assessing economic, social, political and cultural dimensions of poverty by utilizing primary data collected from 78 villages in Bangladesh using a participatory approach. Employing the developed model, a comparative analysis has been performed between microfinance-driven government (GO) and NGO (non-government organization) projects to explore their relative effectiveness in enhancing wellbeing of the poor in rural Bangladesh. It is observed that GO agencies are more effective in enhancing ‘economic wellbeing’ of the poor, whereas NGOs are contributing more in the ‘social’ aspects of wellbeing. Findings also revealed that, as whole, GO agencies perform 42% better than NGOs in improving living standards of the rural poor which contradicts with the existing literature of poverty reduction projects in developing countries.     

Urban and peri-urban aquaculture as an immediate source of food fish: Perspectives of Dhaka City,Bangladesh

This paper describes the present status of aquaculture activities in Dhaka City and its surrounding areas including the system of fish marketing and distribution and environmental and socioeconomic issues. Dhaka City contains over 10 million people and is expanding day by day. Demand of fish in the last 10 years has increased as a result of increases in population and income levels. The annual per capita consumption of fish is reported to drop by 0.5 kg since 1985. The reason for this decline is increased prices and decreased supply of fish. Fish supply to the city comes from catch in the rivers-estuaries and floodlands of Dhaka district, neighboring districts, imports from other areas and aquaculture in surrounding areas of the city. Considerable quantities of fish are imported from India, Myanmar and Thailand. Seasonal patterns are common both in supply and consumption of fish. Along with traditional rural household aquaculture, in recent years, urban and peri-urban aquaculture has also been popular. Three broad types of aquaculture activities are found in and around Dhaka City; these are polyculture of carp in ponds, monoculture of catfishs in ponds, and pen and cage aquaculture in open waters. The carp includes both Indian major carp and Chinese carp and some minor carp. The catfish group includes mainly Thai pangas (Pangasius sutchi). Tilapia (Oreochromis niloticus) is also widely popular among the farmers. The technology used for aquaculture is improved extensive to semi-intensive. Increasing demand for fish in the city markets has encouraged the expansion of peri-urban aquaculture with a corresponding increase in the proportion of farmed fish in the markets.     

Simultaneity in the use of maternal-child health care and contraceptives: evidence from developing countries

This study examined the relationship between the use of maternal-child health (MCH) care and the use of contraceptives. The high correlation between the two may be due to the independent effect of one on the other or to an association of both with the same or similar background factors. We used structural equation models to examine the relationship between these two interventions. The data were derived from six Demographic and Health Surveys: Zimbabwe from Sub-Saharan Africa, Thailand from Asia, Egypt and Tunisia from North Africa, and Guatemala and Colombia from Latin America. The results show that in all six countries, the use of contraceptives and MCH care are significantly associated, independent of intervening factors; this finding suggests that families develop a joint demand for better-quality health and limited family size and translate these demands into action by using health services for mothers and for children and by voluntarily regulating fertility.     

Bangladesh

In Bangladesh the Population Control and Family Planning Division of the Ministry of Health and Population Control has decided to delegate increased financial and administrative powers to the officers of the family planning program at the district level and below. Currently, about 20,000 family planning workers and officials are at work in rural areas. The government believes that the success of the entire family planning program depends on the performance of workers in rural areas, because that is where about 90% of the population lives. Awareness of the need to improve statistical data in Bangladesh has been increasing, particularly in regard to the development of rural areas. An accurate statistical profile of rural Bangladesh is crucial to the formation, implementation and evaluation of rural development programs. A Seminar on Statistics for Rural Development will be held from June 18-20, 1980. The primary objectives of the Seminar are to make an exhaustive analysis of the current availability of statistics required for rural development programs and to consider methodological and operational improvements toward building up an adequate data base.     

On Ehrhart polynomials and probability calculations in voting theory

In voting theory, analyzing the frequency of an event (e.g. a voting paradox), under some specific but widely used assumptions, is equivalent to computing the exact number of integer solutions in a system of linear constraints. Recently, some algorithms for computing this number have been proposed in social choice literature by Huang and Chua (Soc Choice Welfare 17:143–155 2000) and by Gehrlein (Soc Choice Welfare 19:503–512 2002; Rev Econ Des 9:317–336 2006). The purpose of this paper is threefold. Firstly, we want to do justice to Eugène Ehrhart, who, more than forty years ago, discovered the theoretical foundations of the above mentioned algorithms. Secondly, we present some efficient algorithms that have been recently developed by computer scientists, independently from voting theorists. Thirdly, we illustrate the use of these algorithms by providing some original results in voting theory. Helpful comments by Philippe Clauss and his team are gratefully acknowledged.     

Participation in Decentralized Local Governance: Two Contrasting Cases from the Philippines

Contrary to the popular assumptions among international donor agencies, preceding studies have questioned the causal relations between decentralization, participation and pro-poor policy outcomes. This article introduces two cases of decentralized city governments in the Philippines: one employs radical forms of civil participation, while the other introduces modest ones, but both of them have been successfully launching pro-poor policies. Through referring these contrasting cases to a “participatory governance” model and a “governance with trusts” model, the paper argues that the approach to local governance is not linear.