PubMed · 10036529
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J Green. Man seeks nurses..... https://pubmed.ncbi.nlm.nih.gov/10036529/
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Hypospadias is the most common congenital anomaly of the penis. The problem usually develops sporadically and without an obvious underlying cause. The ectopically positioned urethral meatus lies proximal to the normal site and on the ventral aspect of the penis, and in severe cases opens onto the scrotum or perineum. The foreskin on the ventral surface is deficient, while that on the dorsal surface is abundant, giving the appearance of a dorsal hood. Chordee is more common in severe cases. Cryptorchidism and inguinal hernia are the most common associated anomalies. The frequency of associated anomalies increases with the severity of hypospadias. For isolated anterior or middle hypospadias, laboratory studies are not usually necessary. Screening for urinary tract anomalies should be considered in patients with posterior hypospadias and in those with an anomaly of at least one additional organ system. The ideal age for surgical repair in a healthy child is between 6 and 12 months of age. Most cases can be repaired in a single operation and on an outpatient basis. Even patients with a less than perfect surgical result are usually able to enjoy a satisfactory sexual life.
Groundwater and water resources management plays a key role in conserving the sustainable conditions in arid and semi-arid regions. Applying management tools which can reveal the critical and hot conditions seems necessary due to some limitations such as labor and funding. In this study, spatial and temporal analysis of monthly groundwater level fluctuations of 39 piezometric wells monitored during 12 years was carried out. Geostatistics which has been introduced as a management and decision tool by many researchers has been applied to reveal the spatial and temporal structure of groundwater level fluctuation. Results showed that a strong spatial and temporal structure existed for groundwater level fluctuations due to very low nugget effects. Spatial analysis showed a strong structure of groundwater level drop across the study area and temporal analysis showed that groundwater level fluctuations have temporal structure. On average, the range of variograms for spatial and temporal analysis was about 9.7 km and 7.2 months, respectively. Ordinary and universal kriging methods with cross-validation were applied to assess the accuracy of the chosen variograms in estimation of the groundwater level drop and groundwater level fluctuations for spatial and temporal scales, respectively. Results of ordinary and universal krigings revealed that groundwater level drop and groundwater level fluctuations were underestimated by 3% and 6% for spatial and temporal analysis, respectively, which are very low and acceptable errors and support the unbiasedness hypothesis of kriging. Although, our results demonstrated that spatial structure was a little bit stronger than temporal structure, however, estimation of groundwater level drop and groundwater level fluctuations could be performed with low uncertainty in both space and time scales. Moreover, the results showed that kriging is a beneficial and capable tool for detecting those critical regions where need more attentions for sustainable use of groundwater. Regions in which were detected as critical areas need to be much more managed for using the current water resources efficiently. Conducting water harvesting systems especially in critical and hot areas in order to recharge the groundwater, and altering the current cropping pattern to another one that need less water requirement and applying modern irrigation techniques are highly recommended; otherwise, it is most likely that in a few years no more crop would be cultivated.
In this study, heavy metal contents of groundwater from the Mersin aquifer were determined with photometric methods and used to determine the main factors controlling the pollution of groundwater in the area. Using MapInfo GIS software, spatial analysis and integration were carried out for mapping drinking water quality in the basin. From the photometric heavy metal analysis, it is inferred that the excess concentration of Fe, Ni, Mn, Mo and Cu at some locations is the cause of undesirable quality for drinking purposes. Similarly, the EC thematic map shows that considerable areas in the basin are having high salinity hazards. The reason for excess concentration of various heavy metals is the industrial activities and petroleum pipelines and salinity levels show the sea water intrusion.