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Sympathetic Skin Response in Patients with Vascular Erectile Dysfunction
Mostafa Jazayeri,Behrooz Kazemi,Alireza Aminsharifi,Alireza Ashraf,Mahshid Naseri,Ali Nasseri,Amirhooshang Vahedi 대한남성과학회 2014 The World Journal of Men's Health Vol.32 No.1
Purpose: We aimed to investigate the utility of sympathetic skin response (SSR) test for evaluating vasculogenic erectile dysfunction (ED) which is the most common type of impotence. Materials and Methods: Men in the age group of 28 to 60 years and suffering from vasculogenic ED, as confirmed by a papaverin test and color Doppler sonography, at least for 6 months referred from our university urology department were included. We used the International Index of Erectile Function (IIEF-5) for grading severity of dysfunction and recorded the SSR of every patient from the median, tibial, and dorsal nerves of the penis. One-way analysis of variance (ANOVA), independent t-test and Pearson’s correlation coefficient were used for comparing quantitative variables, and Fisher's Exact test was used for comparing qualitative variables. The Mann-Whitney U Test and the Kruskal-Wallis test were performed for analysis of data that were not normally distributed. A p value of less than 0.05 was considered significant. Results: Forty-two patients were recruited for the study. We found a strong statistical relationship between the IIEF score and the pathologic SSR registered from every mentioned nerve. Patients with abnormal SSR had more severe ED according to IIEF score (p<0.001). In addition, the IIEF score had a significantcorrelation with diabetes mellitus and cardiovascular disease (t-test; p<0.05). Conclusions: Our results confirmed the presence of autonomic dysfunction in patients with vasculogenic impotence via an SSR test. We suggest evaluating the efficacy of the SSR test in patients with vascular impotence for treatment response monitoring in future studies.
Hamid Rezaie,M.H. Kazemi-Rahbar,Behrooz Vahidi,Hasan Rastegar 한국CDE학회 2019 Journal of computational design and engineering Vol.6 No.3
This paper presents a new optimization technique developed based on harmony search algorithm (HSA), called chaotic improved harmony search algorithm (CIHSA). In the proposed algorithm, the original HSA is improved using several innovative modifications in the optimization procedure such as using chaotic patterns instead of uniform distribution to generate random numbers, dynamically tuning the algorithm parameters, and employing virtual harmony memories. Also, a novel type of local optimization is intro-duced and employed in the algorithm procedure. Applying these modifications to HSA has resulted in enhancing the robustness, accuracy and search efficiency of the algorithm, and significantly reducing the iterations number required to achieve the optimal solution. To validate the effectiveness of CIHSA, it is used to solve the combined economic emission dispatch (CEED) problem, which practically is a com-plex high-dimensional non-convex optimization task with several equality and inequality constraints. Six test systems having 6, 10, 13, 14, 40, and 140 generators are investigated in this study, and the valve-point loading effects, ramp rate limits and power transmission losses are also taken into account. The results obtained by CIHSA are compared with the results reported in a large number of other research works. Furthermore, the statistical data regarding the CIHSA performance in all test systems is presented. The numerical and statistical results confirm the high quality of the solutions found by CIHSA and its superiority compared to other existing techniques employed in solving CEED problems.