Continence technologies whitepaper: Informing new engineering science research

Culmer, Peter; Alazmani, Ali; Bryant, M; Mancuso, Elena; King, Sarah; Mapunde, Vee; Jeays-Ward, Katherine; Heron, Nicola M.; Pearson, Russell W; Vollebregt, Paul F.; Corner, Lynne; Day, Richard M.

doi:10.1177/0954411918784073

Cited by 3 publications

(2 citation statements)

References 107 publications

(173 reference statements)

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“…Much of the emerging mesh technology is at an early stage of development and has yet to be tested in humans. The "pathway to translation" for this research will require extensive clinical studies and work to obtain regulatory approval (Culmer, Alazmani, Bryant, et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The use of polymeric meshes for pelvic organ prolapse: Current concepts, challenges, and future perspectives

et al. 2019

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Pelvic organ prolapse (POP) is one of the most common chronic disorders in women, impacting the quality of life of millions of them worldwide. More than 100 surgical procedures have been developed over the decades to treat POP. However, the failure of conservative strategies and the number of patients with recurrence risk have increased the need for further adjuvant treatments. Since their introduction, surgical synthetic meshes have dramatically transformed POP repair showing superior anatomic outcomes in comparison to traditional approaches. Although significant progress has been attained, among the meshes in clinical use, there is no single mesh appropriate for every surgery. Furthermore, due to the risk of complications including acute and chronic infection, mesh shrinkage, and erosion of the tissue, the benefits of the use of meshes have recently been questioned. The aim of this work is to review the evolution of POP surgery, analyzing the current challenges, and detailing the key factors pertinent to the design of new mesh systems. Starting with a description of the pelvic floor anatomy, the article then presents the traditional treatments used in pelvic organ disorders. Next, the development of synthetic meshes is described with an insight into how their function is dependent on both mesh design variables (i.e., material, structure, and functional treatment) and surgical applications. These are then linked to common mesh‐related complications, and an indication of current research aiming to address these issues.

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Section: Discussionmentioning

confidence: 99%

The use of polymeric meshes for pelvic organ prolapse: Current concepts, challenges, and future perspectives

et al. 2019

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“…To assess the dynamic stability of blind people, Hallman et al analyzed the biomechanical walking patterns using the Vicon motion analysis system [16]. Today, the rehabilitation of people with physical disabilities has received assiduous attention, and this type of evaluation, especially using practical and less expensive equipment, can be of great help in the improvement of movement exercises, achievement of more independence, and development of rehabilitation strategies [17,18]. Therefore, it is most important to identify the influential factors affecting walking in blind people to prevent the occurrence and reduce their movement disorders.…”

Section: Introductionmentioning

confidence: 99%

Dynamic stability evaluation of trunk accelerations during walking in blind and sighted individuals

Rasouli Kahaki,

Choobineh,

Razeghi

et al. 2024

BMC Ophthalmol

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Background Dynamic stability is a fundamental goal in standing activities. In this regard, monitoring, analysis, and interventions made to improve stability is a research topic investigated in the biomechanics of human movements. Vision has a major role to play in controlling human movement. Nonetheless, little is known about the effects of visual deprivation, especially from birth on dynamic gait stability. Methods The current study was conducted on 20 congenital blind and 10 sighted people (15–38 years). To evaluate the dynamic stability, descriptive data, harmonic ratio (HR), improved harmonic ratio (iHR), and root mean square (RMS), based on trunk acceleration data were measured in three axes: anteroposterior (AP), vertical (V), and mediolateral (ML) while participants walked an eight-meter straight path. Results In the comparison of blind and sighted people (eyes open), standard deviation, HR, iHR, and RMS indices were found to be significantly different in both AP and V directions. All the mentioned parameters were significantly lower in blind than in sighted participants. In the comparison of blind people and sighted ones with closed eyes, changes were observed in the maximum, range, standard deviation, and RMS only in the AP axis. In the comparison between eyes open and closed in sighted people, a significant difference was found only in the harmonic ratio of the vertical axis. Conclusion Visual deprivation led to a decrease in dynamic stability parameters in the AP and V axes. Even the movement of sighted people in unchallenged conditions is dependent on visual information.

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Holistically sustainable continence care: A working definition, the case of single-used absorbent hygiene products (AHPs) and the need for ecosystems thinking

Vaittinen,

Koljonen,

Tella

et al. 2023

Proc Inst Mech Eng H

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Incontinence is a common health issue that affects hundreds of millions of people across the world. The solution is often to manage the condition with different kinds of single-use continence technologies, such as incontinence pads and other absorbent hygiene products (AHPs). Throughout their life cycle, these fossil-based products form a remarkable yet inadequately addressed ecological burden in society, contributing to global warming and other environmental degradation. The products are a necessity for their users’ wellbeing. When looking for sustainability transitions in this field, focus on individual consumer-choice is thus inadequate – and unfair to the users. The industry is already seeking to decrease its carbon footprint. Yet, to tackle the environmental impact of single-use continence products, also societies and health systems at large must start taking continence seriously. Arguing that continence-aware societies are more sustainable societies, we devise in this article a society-wide working definition for holistically sustainable continence care. Involving dimensions of social, ecological and economic sustainability, the concept draws attention to the wide range of technologies, infrastructures and care practices that emerge around populations’ continence needs. Holistically sustainable continence care is thus not only about AHPs. However, in this article, we examine holistically sustainable continence care through the case of AHPs. We review what is known about the environmental impact AHPs, discuss the impact of care practices on aggregate material usage, the future of biobased and degradable incontinence pads, as well as questions of waste management and circular economy. The case of AHPs shows how holistically sustainable continence care is a wider question than technological product development. In the end of the article, we envision an ecosystem where technologies, infrastructures and practices of holistically sustainable continence care can flourish, beyond the focus on singular technologies.

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Continence technologies whitepaper: Informing new engineering science research

Cited by 3 publications

References 107 publications

The use of polymeric meshes for pelvic organ prolapse: Current concepts, challenges, and future perspectives

The use of polymeric meshes for pelvic organ prolapse: Current concepts, challenges, and future perspectives

Dynamic stability evaluation of trunk accelerations during walking in blind and sighted individuals

Holistically sustainable continence care: A working definition, the case of single-used absorbent hygiene products (AHPs) and the need for ecosystems thinking

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