User blogs
Smart Lock has been around since 2014's Android 5.0 era (which, according to my calculations, was approximately "an eternity" ago by 2020 standards). The basic idea behind it is to make securing your smartphone less inconvenient, thus making it more likely that you'll actually use a pattern, PIN, passcode, or person-paw press (also known as a fingerprint) to keep your data safe. The sensational headlines about big, bad malware monsters lurking in the dark and waiting to pounce on unsuspecting victims may be scary, after all, but here in the real world, you're far more likely to suffer from your own self-made security shortcomings than from any sort of theoretical threat.To get more news about safe lock, you can visit securamsys.com official website.
So, yeah: Smart Lock makes an awful lot of sense — not just for average phone-ownin' folk but also for enterprises and businesses of all sizes that need to enforce proper security and want to make the measures as palatable as possible. There's just one teensy weensy little problem: One of the most effective Smart Lock options for Android is constantly breaking and failing to do its job.
I'm talking about Smart Lock's Trusted Places feature, which lets you set a specific physical location — your home, your office, the ostrich habitat you for some reason frequent at your local zoo, or whatever — at which your phone will automatically stay unlocked. Whenever you're at that location, your phone will skip over the standard lock screen and let you get stuff done without the need for any authentication. And when you're anywhere else, your standard security method will show up and apply.
The Trusted Places part of Smart Lock was fantastic when it first came along, but at some point, it just stopped working consistently. It's something I've experienced with numerous Android devices, including my own current personal phone, and something I've heard about from Android users endlessly over the past several years. And despite the occasional proclamation that some under-the-hood adjustment has delivered the fix we've all been waiting for, the issue just never seems to go away.
Hold the phone, though: There's still hope. While we may not be able to fix the finicky nature of Android's Smart Lock Trusted Places feature at its source, we can tweak our own settings to give it a metaphorical kickstart and get it working on our devices, at least for a while, once more.
The secret is a simple little workaround I've refined and relied on personally over the years, and it absolutely works — not always forever but typically for a fair amount of time. And it takes all of roughly 60 seconds to do.There's not much left to do here: Just tap the notification shown above, and you should be taken into the Trusted Places section of your Android Smart Lock settings. There, your phone should prompt you to use the "new" address as your Trusted Place location. And all you've gotta do is tap "Yes."
If for some reason you didn't get that notification — or maybe you dismissed it inadvertently — just head into your system settings, search for Smart Lock, then head into that section and tap the "Trusted Places" line. (You'll probably have to enter your PIN, pattern, or password first as a security measure.) Tap the line labeled "Trusted Places," then tap the line representing the location you just adjusted and look for the "Turn on this location" prompt at the bottom of the screen.
You certainly shouldn't have to do any of this, and it's annoying that you do. But now you know the trick. And if things get wonky again in another six months, you know exactly what to do to set 'em right once more.
According to Latest Report Published by Emergen Research, The Smart Lock Market Size is expected to reach USD 8.87 billion in 2028 at a CAGR of 15.0% during the forecast period. Increasing need for safety and security of property, personal items, and other valuable items, rising adoption of smart home automation systems, growing preference for smart locks in commercial and corporate buildings, and rapid advancements in the smart lock technology are key factors expected to drive market revenue growth over the forecast period.To get more news about smart home accessories, you can visit securamsys.com official website.
Smart locks are IoT-enable entry devices that do not require keys and help users remotely access door locks via smartphones and other smart devices. Smart locks use Wi-Fi, mobile applications, and voice assistants such as Alexa, Google Assistant and Siri to lock and unlock doors, grant access to guests, and send alert when doors remain opened or unlocked.
The latest study is inclusive of an in-depth analysis of the economic status of the global Smart Lock market and examines the most important regions constituting the global market. It further details on the most lucrative and growth-oriented regions, top market rivals, diversified product types, and a large number of end-use industries. Additionally, the study includes a detailed summary of the current market scenario, which is vastly impacted by the ongoing COVID-19 pandemic.Growing use of smart locks in hospitality sector to improve in-room security and to regulate access to authorized individuals in factories, airports, banks, and defense zones, among others are some other key factors fueling the revenue growth of the market.
Deadbolts segment is expected to account for largest revenue share in the global market between 2021 and 2028 owing to increasing demand for deadbolts in residential and commercial buildings as they offer enhanced security and durability. Rising adoption of touch-screen deadbolt and smart deadbolts owing to their easy installation and remote control is also contributing to the revenue growth of the segment.Biometric segment revenue is expected to register robust revenue CAGR over the forecast period owing to increasing adoption of biometric smart locks that offer palm, face, iris, voice, and fingerprint recognition in residential and commercial buildings. Revenue growth of this segment can also be attributed to growing demand for smart locks integrated with 3D biometric fingerprint sensors and robust security software that offer enhanced security and improved user convenience.
Wi-Fi segment revenue is expected to expand significantly during the forecast period owing to increasing advancement in Wi-Fi networks, improvement in remote control capabilities of Wi-Fi-enabled smart locks, and real-time alerts delivered by Wi-Fi-based smart locks that ensure higher level of security and safe smart home experience.
Residential segment is expected to account for a significant revenue share in the global market owing to increasing adoption of smart locks in smart residential buildings to address the growing concerns surrounding security and safety of residents, growing trend of smart homes, and rising investment to equip new residential infrastructure with smart windows, sensors, and other integrated security features.In May 2021, Assa Abloy AB, which is a Swedish lock maker, acquired Sure-Loc, which is a U.S.-based supplier of residential locks and related hardware. The acquisition is expected to bolster the former’s global position in the smart lock market.
Novartis today announced the introduction of a new organizational structure and operating model designed to support the company’s innovation, growth, and productivity ambitions as a focused medicines company in the coming decade.To get more novartis latest news, you can visit shine news official website.
“The simpler organizational model we are unveiling today is central to our growth strategy as it will make us more agile and competitive, enhance patient and customer orientation, unlock significant potential in our R&D pipeline and drive value-creation through operational efficiencies,” said Vas Narasimhan, CEO Novartis. “With our portfolio of in-market medicines and up to 20 major pipeline assets that could be approved by 2026, Novartis is in a strong position to deliver above-peer-median sales and margin growth in the mid- and long-term.”
Integrating Pharmaceuticals and Oncology business units
Novartis will integrate the Pharmaceuticals and Oncology business units and create two separate commercial organizations with a stronger geographic focus—Innovative Medicines US and Innovative Medicines International. The two units will have full P&L responsibility across all therapeutic areas and ownership of customer experience, marketing and sales, and market access for their respective markets. The elevation and establishment of an independent US commercial organization strengthens Novartis’s ability to achieve its goal of becoming a top-five company in the US in terms of sales while maintaining and growing its leadership position internationally. The new model will also help Novartis bring increased focus and commitment to its core therapeutic areas of Cardiovascular, Hematology, Solid Tumors, Immunology and Neuroscience.
Marie-France Tschudin, currently President, Novartis Pharmaceuticals, will become President, Innovative Medicines International and Chief Commercial Officer. In her capacity as Chief Commercial Officer, Marie-France Tschudin will oversee global marketing, medical affairs and value and access across all therapeutic areas. Victor Bulto, currently Head of US Pharmaceuticals, will become President, Innovative Medicines US. They will both report to Vas Narasimhan effective immediately.
New Strategy & Growth Function
Novartis will create a new Strategy & Growth function combining corporate strategy, R&D portfolio strategy and business development. This function will help drive the company’s growth strategy end-to-end and will look across internal and external opportunities to strengthen Novartis’s pipeline with medicines that are both transformational and can make significant contributions to growth. This new function will be led by a Chief Strategy & Growth Officer who will become a member of the ECN and report to the CEO. The search is currently underway for this new leader, and in the interim the function will be led by Lutz Hegemann, M.D., Ph.D., President, Global Health.
Integrated Operations and Global Functions
Novartis will also combine its Technical Operations and Customer & Technology Solutions units to create a new Operations unit. This new unit will provide a stronger and simpler operational backbone that can accelerate multiple technology transformation initiatives more efficiently, create novel digital solutions at scale and increase productivity, while maintaining industry-leading quality and service levels. Effective immediately, Steffen Lang, currently Global Head of Novartis Technical Operations, will become President, Operations reporting to Vas Narasimhan. In addition, all G&A functions—Finance, People & Organization, Ethics, Risk & Compliance, Legal, and Communications & Engagement—will be integrated on global and country levels.
Novartis has appointed Shreeram Aradhye, M.D., as President, Global Drug Development and Chief Medical Officer effective May 16th, 2022. Dr. Aradhye, who is returning to Novartis, was most recently Executive Vice President and Chief Medical Officer at Dicerna Pharmaceuticals where he led the development of multiple clinical stage RNAi assets. Previously, he was Chief Development Officer at Axcella Health. Dr. Aradhye has dedicated his entire professional career to improving patient lives, first as an academic clinician and then as a drug developer and business leader. He brings significant experience in global clinical development of innovative medicines across several therapeutic areas and has played a key leadership role in the development of multiple innovative therapeutics. During his 20-year tenure at Novartis, he held several global leadership roles including as development head for the company’s Neuroscience franchise and Global Head of Medical Affairs for the Pharmaceuticals business unit. Dr. Aradhye will report to Vas Narasimhan and join the ECN. With the changes in organizational structure and operating model, John Tsai, M.D., has decided to pursue opportunities outside Novartis effective May 15th, 2022.
“I would like to extend my deep gratitude to Susanne, Robert and John for their invaluable contributions to the company. Susanne has been an inspiring and dedicated leader at the company for 25 years, and she has played a pivotal role in strengthening our global Oncology business. Over the last four years, Robert has led a successful transformation of our business services and technology operations and helped create a strong Customer & Technology Solutions unit. Since taking over as Head of GDD in May 2018, John has played a key leadership role in advancing our mid-stage pipeline and delivering 18 major drug approvals to patients around the world. I wish them the very best in their future endeavors,” added Vas Narasimhan, CEO Novartis. “I would like to congratulate Marie-France, Shreeram, Steffen and Victor on their new roles, and extend a warm welcome back to Shreeram. I look forward to working closely with them as we embark on this new phase of our journey to reimagine medicine together.”
As millions of people in Shanghai line up for coronavirus tests, authorities are promising tax refunds for shopkeepers in the closed-down metropolis and to keep the world's busiest port functioning to limit disruption to industry and trade.To get more China finance news, you can visit shine news official website.
This week's shutdown of most activity in China's most populous city to contain virus outbreaks jolted global financial markets that already were on edge about Russia's war on Ukraine, higher U.S. interest rates and a Chinese economic slowdown.
On Wednesday, the government reported 8,825 new infections nationwide, including 7,196 in people with no symptoms. That included 5,987 cases in Shanghai, only 329 of which had symptoms.
China’s case numbers in its latest infection surge are low compared with other major countries. But the ruling Communist Party is enforcing a “zero tolerance” strategy aimed at isolating every infected person.Some 9.1 million of Shanghai's 26 million people had undergone virus testing by Wednesday, according to health officials. They said “preventive disinfection” of apartment compounds, office buildings and shopping malls would be carried out.
Shanghai recorded more than 20,000 cases by Monday in its latest outbreak, according to state media.The party is trying to fine-tune its strategy to rein in job losses and other costs to the world’s second-largest economy.The Shanghai government announced tax refunds, cuts in rent and low-cost loans for small businesses. A government statement Tuesday promised to “stabilize jobs” and “optimize the business environment.”
The Shanghai port stayed open and managers made extra efforts to ensure vessels “can call normally,” state TV reported. The port serves the Yangtze River Delta, one of the world's busiest manufacturing regions, with thousands of makers of smartphone and auto components, appliances and other goods.Operations at Shanghai airports and train stations were normal, according to the online news outlet The Paper. Bus service into and out of the city was suspended earlier. Visitors are required to show a negative virus test.
Abroad, the biggest potential impact on China’s Asian neighbors and the rest of the world is likely to come from developments that chill demand in the world's most populous consumer market, economists said.China is the biggest export market for all of its neighbors, including Japan and South Korea.
Economic growth already was forecast to decline from last year’s 8.1% due to a government campaign to cut corporate debt and other challenges unrelated to the pandemic. The ruling party's official target is 5.5%, but forecasters say even that looks hard to reach and will require stimulus spending.
“China is the biggest single consumer of practically everything. It matters outside China,” said Rob Carnell, chief Asia economist for ING. “If China’s consumption is getting knocked down by COVID, it is going to be something that filters down the supply chain and affects countries in the region.”
Officials are trying to defend China's role in global manufacturing supply lines by making sure goods get to customers, said Louis Kuijs, chief Asia-Pacific economist for S&P Global Ratings. He noted that after previous shutdowns, factories caught up with orders by working overtime.
“The impact on supply chains is not as big as many outside observers fear,” Kuijs said. “These restrictions tend to have a larger impact on spending and the demand side in China.”The impact on Shanghai should be “relatively muted” if the city contains its outbreak as the southern business center of Shenzhen did earlier, said Carnell.
Shenzhen, a tech and finance center of 17.5 million people, imposed a similar citywide shutdown in mid-March and reopened a week later.Employees of financial industries can work from home, while automakers and other big manufacturers can have workers live at factories in a “closed loop system” that isolates them from contact with the outside.
General Motors Co. and Volkswagen AG said their factories in Shanghai were operating normally. GM said in an email it was carrying out “contingency plans on a global basis” with suppliers to reduce COVID-related uncertainties.Elsewhere, a total of 2,957 new cases were reported in Jilin province in the northeast, including 1,032 with no symptoms. Access to the cities of Changchun and Jilin in that province has been suspended.
Top NFL players by jersey number
The 2021 NFL season is finally in sight. But this year, unlike seasons past, players may be wearing jersey numbers unfamiliar to even trained eyes. Thanks to loosened restrictions that enable different positions to rock single digits starting this fall, some of the league's top talent will be sporting a new look. With that in mind, we decided to revisit every single number -- from 1 to 99 -- and identify the best player set to wear each one going into the 2021 campaign.To get more news about nfl custom jerseys, you can visit buyviagraonline24hours.com official website.
Lots of good candidates for future years: Justin Fields, Ja'Marr Chase, Tua Tagovailoa. For now, Murray brings the most pop and proven production to the table.
Once reserved for kickers, punters and the occasional QB, this number is now loaded with skill talent. Matt Ryan, D.J. Moore, Darius Slay and Robert Woods are honorable mentions. Other notables: Carson Wentz, Dyami Brown, Patrick Surtain II.
Talk about a major talent infusion for the No. 5, which is otherwise owned by mid-tier QBs like Teddy Bridgewater and Tyrod Taylor.
Just not a ton of competition for a great number. Vikings CB Patrick Peterson and Buccaneers RB Leonard Fournette are other considerations.
Jackson will probably own this as long as he suits up, but there's a decent well of future talent: Packers WR Amari Rodgers, Panthers CB Jaycee Horn, Falcons TE Kyle Pitts and Jets WR Elijah Moore.
Man, this is close. Chargers QB Justin Herbert and Cardinals WR DeAndre Hopkins are equally as spectacular at their respective peaks. A year from now, Herbert might be the no-brainer. Others to watch: Cooper Kupp and Jerry Jeudy.
This went to Aaron Rodgers in 2020. A-Rod is still more physically gifted, but how can this not be Brady, who refuses to age and/or stop delivering when it matters most? This is his number.
Michael Thomas is too banged up to retain this. Altogether, it's a treasure trove of wideouts: Mike Evans, Odell Beckham, Michael Gallup, Brandin Cooks, T.Y. Hilton, Allen Lazard.
This is a tough call, with Bills QB Josh Allen emerging as a top five playmaker at his position. For now, the nod goes to the longer track record, with Adams clearly among the game's best No. 1 wideouts.
When he's healthy, he'll give you more fight and crunch-time results than most of the other options here, all of which are good: Amari Cooper, Kenny Golladay, Deebo Samuel.
Ranking All 32 NFL Teams Solely On Their Uniforms
The Texans earn the bottom spot simply for a desperate need of a revamp. I'd keep the helmet but find a way to better the uniform and pants while not making it too much like the Patriots.To get more news about cheap nfl jerseys china, you can visit buyviagraonline24hours.com official website.
Not a fan at all of the rebranding of the jerseys. I'm "anti-shadow numbers" for all uniforms, so this is no exception. That being said, there is still potential there, and I think they should consider reverting to their old falcon logo or a new reiteration of it.
Not totally in love with the gray numbers, but the pants and pant stripe are great. The "Lions" lettering the shoulder is very unique too.
I actually don't mind this new design at all. The only nitpick is maybe making the helmet a lighter shade, because under the lights, it is almost too dark.A very classic look to these. The white helmet really pops, especially with the road uniforms. Their blue home jerseys held them back a little on this list.
Love the color and it looks really good on the football field. They should steer away from the black jerseys, because their blues are very underrated.By far...BY FAR the best iteration of the Browns uniforms...ever. I always hated them not evolving their brand as a kid, but I feel like these are new and fresh while still staying true to the classics.
The change from a white helmet to a blue helmet was a big-time upgrade. The road uniforms really make the helmet pop.Some of the best helmets in the league, but they could definitely use a minor update/tweak for this century.
Solid color scheme, and I like the classic look of the uniform. That being said, I think it'd be cool for them to have the "W" Washington Football Team logo on both sides of the helmet instead of numbers.
Very simple uniforms, but they always look good on the field. If they were to change anything, they could maybe modernize the patterns on the shoulders and pants. It's hard to go wrong with red on a football jersey.One of the few uniforms in the NFL that I don't mind that the home jersey and home pants match. The all black looks good and really puts a focus on the helmet and the fleur-de-lis logo.
I like their uniforms. They're very purple-y. This is a team with a great identity, from the numbers to the logo. Even the font of the player names are distinct.Ever since the Seahawks switched to these uniforms, they have found ways to win. The patterns on the number and around the shoulders are very original.
I'm a Patriots fan, but I can't allow them to go past this spot until they change their pant color. Their pants should be white or silver, because the all blue from neck to legs looks awful. The new jersey alone has potential, but the overall combination isn't working.
Some of the best road uniforms in the league. The red really pops on the white, and it is a bold color choice since their helmet is blue; most teams would've made the numbers blue. Their road uniforms alone lifted them to the top half of the list.
This may be the best red helmet in football. The white face mask really pops with the red helmet. The white pants with the home jersey work because of the bright white face mask.
Every 2021-2022 NBA City Edition Uniform Explained
All thirty NBA teams released their brand new 2021-22 Nike City Edition uniform at the exact same time on the morning of November 1, 2021. Not nice for your local uniform reporter but lots of fun for uniform fans!
Each uniform is a mashup of several uniforms throughout a team’s franchise history, this is being done in recognition of the NBA’s 75th anniversary celebrations being held throughout the 2021-2022 season. I’ll be explaining as many of the inspirations behind each of these designs as I can, if I miss something or make a mistake please let me know in the comments.To get more news about kobe nba jerseys cheap, you can visit formaxproductions.com official website.
The Atlanta Hawks are going with a yellow base as they did on their alternate uniforms from 2004-05 through 2006-07. Across the chest is the wordmark style used during the Pistol Pete days of the early ’70s, recoloured to black and red. The number style is the same as what the team wore during their move from St. Louis to Atlanta in 1968 and positioned as it was in the late ’90s. The big draw here is the large hawk logo across the chest, similar to what the club wore from 1995 to 1999, now without that black-to-red gradient below it.
The front numbers and the stripe configuration on the shorts pay tribute to the first uniforms debuted in 1968, while the back numbers hearken to the highlight era of the ’80s. The wingspan logo of the ‘90s makes a bold return across the front, while the beloved Primary Icon logo goes front and center on the belt. And the jersey anthem calls out the city’s iconic “404” with the razor-talon Hawk.
When you’re one of the original franchises still remaining from the NBA’s first season, you go all the way back for your 75th. Boston is wearing green with “CELTICS” arched across the front in green with a drop shadow similar to what the club wore during the 1949-50 season. The sides of the shorts feature a triangle design with a shamrock as they did from 1946-49, inside the shamrock is “RED” a tribute to legendary Celtics coach Red Auerbach. The opposite side of the shorts features the Celtics’ 75th anniversary logo.
The Brooklyn Nets are leaning heavily into their years as the New Jersey (and New York) Nets for their 2021-22 City Edition uniform, the layout of the uniform harkens back to the style they used with numerous variations for nearly twenty years between 1972 and 1990. Across the chest is the wordmark used on their next jersey style which lasted from 1990 to 1997. The team’s primary logo from 1997 until 2012, their last in New Jersey, is on the waistband of the shorts while the side of the shorts uses a modifed version of their team logo from 1979-90. A team logo history (thumbs up!) is placed in the lower left corner of the jersey.
The Hornets are teal with a honeycomb gradient, down the front of the jerseys are a series of blue, green, and purple pinstripes as the original version of the Hornets wore on multiple uniform designs from 1988 until 1997. The “Charlotte” script across the front was never worn on a uniform but, Nike says, it recalls the clubs late ’80s playoff run. Someone will need to explain how to me if they know. Number font is the same as the team wears now and has since they returned to the Hornets name in 2014. A little nod to the Charlotte Bobcats (remember them?!) by way of the left-justified number position, as the Bobcats wore from 2004 to 2009.
The Chicago Bulls are of course incorporating their run of six NBA titles over eight seasons into their design by way of the jock tag in the lower right of the jersey. The script across the front is a throwback to what the team wore from 1973 to the early Jordan years in 1985 (Nike’s release makes an error here, you’ll see). The number includes a drop shadow as they did during the Bulls’ first seasons from 1966 to 71. On the shorts is the stars from the Chicago city flag, a frequent source of inspiration on Bulls City uniforms in recent years, the side of the shorts incorporate the black with red pinstripe design used on the Bulls’ alternate uniforms from 1995 to 1997.
Ranking the 10 best NBA City Edition uniforms
In honor of the league's 75th anniversary season, each team's City Edition uniforms represent "the ultimate basketball moments mixtape – a compilation of the franchise’s greatest hits through the years."To get more news about kobe jerseys for sale, you can visit formaxproductions.com official website.
Some are boring (looking at you, Thunder) and others are ugly (hello, Heat). But there are also several sweet-looking sets.Everything's coming up Knicks. Not only are they playing great basketball, but they’re also rolling out great uniforms. Their shorts rival the Memphis Grizzlies (who we'll get to shortly) for the best in the entire City Edition collection.
The only bad thing to say about these is that they aren’t the Prince-inspired uniforms from a few years ago. Love the trees on the jersey and shorts.
Have the Grizzlies ever sported bad uniforms? From the logo on the shorts to the subtle bear claw marks on the "Memphis" lettering and the "MEM" pattern, these are a slam dunk.
The Suns knocked it out of the park with their City Edition unis last season. Running it back wasn't a bad choice.
Something like this should be the Rockets’ permanent uniform set. Or at least just bring back the pinstripes.
What do you get when you combine OVO’s black and gold colors with one of the NBA’s best vintage logos? Awesome City Edition uniforms.
The uniforms and court are going to make it feel like the Nets are back in East Rutherford, N.J. All that will be missing is Sly Fox. In all seriousness, the Nets did a fantastic job blending together their Long Island and New Jersey roots, while also adding a touch of Brooklyn.
Non-Sixers fans might have been confused by the different-colored blocks on the side of the jersey. But the nod to the Spectrum was a great idea and executed to perfection.
You don’t typically see the combination of a team’s city/name and logo on the front of a jersey. But, like the Raptors, the Hawks were able to pull it off with a great throwback logo.
It’s only right that the NBA’s most fun team to watch has the best City Edition unis. Yes, there’s a ton going here, but the colors and hive pattern are so good. Can’t wait for the first LaMelo Ball-to-Miles Bridges alley-oop in these.
Treatment of Prostatitis
Prostatitis is inflammation of the prostate gland. In clinical practice, the term prostatitis encompasses multiple diverse disorders that cause symptoms related to the prostate gland. One author has described prostatitis as “a wastebasket of clinical ignorance”1 because so many poorly characterized syndromes are diagnosed as prostatitis. The spectrum of prostatitis ranges from straightforward acute bacterial prostatitis to complex conditions that may not even involve prostatic inflammation. These conditions can often be frustrating for the patient and the clinician.To get more news about Chronic prostatitis treatment, you can visit our official website.
Prostatitis is a common condition. In a survey of National Guard members (20 to 49 years of age) using a self-reported diagnosis of prostatitis, a 5 percent lifetime prevalence was noted.2 A population-based study of men (40 to 79 years of age) in Olmstead County, Minn., suggests a lifetime prevalence close to 9 percent. The latter study used a medical record review to confirm physician diagnosis of prostatitis. Patients with a previous episode of prostatitis were at significantly increased risk for subsequent episodes.3 In a nationwide review of data from outpatient physician visits, it was noted that 15 percent of men who saw a physician for genitourinary complaints were diagnosed with prostatitis.4 Every year, approximately 2 million physician visits include the diagnosis of prostatitis. Despite its widespread prevalence, prostatitis remains a poorly studied and little understood condition.
Prostatitis is not easily diagnosed or classified. Patients with prostatitis often present with varied, nonspecific symptoms, and the physical examination is frequently not helpful. The traditional diagnostic test for differentiating types of prostatitis is the Stamey-Meares four-glass localization method.5 It includes bacterial cultures of the initial voided urine (VB1), midstream urine (VB2), expressed prostatic secretions (EPS), and a postprostatic massage urine specimen (VB3). The VB1 is tested for urethral infection or inflammation, and the VB2 is tested for urinary bladder infection. The prostatic secretions are cultured and examined for white blood cells (more than 10 to 20 per high-power field is considered abnormal). The postmassage urine specimen is believed to flush out bacteria from the prostate that remain in the urethra.
Although widely described as the gold standard for evaluation for prostatitis, this diagnostic technique has never been appropriately tested to assess its usefulness in the diagnosis or treatment of prostatic disease. The expression of prostatic secretions can be difficult and uncomfortable. In addition, the test is somewhat cumbersome and expensive, which may explain its infrequent use by primary care physicians and urologists.3,6
An alternative diagnostic test, called the pre- and postmassage test (PPMT) has been proposed. Although easier to carry out, this test has also not been validated; in retrospective studies, it performed about as well as the four-glass method. 7
The technique is straightforward. The patient retracts the foreskin, cleanses the penis and then obtains a midstream urine sample. The examiner performs a digital rectal examination and vigorously massages the prostate from the periphery toward the midline. The patient collects a second urine sample, and both specimens are sent for microscopy and culture. See Table 1 for interpretation of results of the four-glass test and the PPMT.
Traditionally, prostatitis has been divided into four subtypes based on the chronicity of symptoms, the presence of white blood cells in the prostatic fluid and culture results. These subtypes are acute bacterial prostatitis, chronic bacterial prostatitis, chronic nonbacterial prostatitis and prostadynia.5 Although this classification system has been widely used, it has never been validated for diagnostic or therapeutic utility.
At a recent National Institutes of Health (NIH) conference, a new classification system was proposed that could account for patients who do not clearly fit into the old system.3,8 The subgroups of acute and chronic bacterial prostatitis remain essentially unchanged. Chronic nonbacterial prostatitis and prostadynia have been merged into a new category called chronic nonbacterial prostatitis/chronic pelvic pain syndrome (CNP/CPPS). This category can be subdivided further based on the presence or absence of white blood cells in prostatic secretions. A fourth and final category of asymptomatic prostatitis was added to the classification system. A large-scale study is in progress in an attempt to validate the new classification system. Table 2 compares the two classification systems.
Acute bacterial prostatitis (ABP) may be considered a subtype of urinary tract infection. Two main etiologies have been proposed. The first is reflux of infected urine into the glandular prostatic tissue via the ejaculatory and prostatic ducts. The second is ascending urethral infection from the meatus, particularly during sexual intercourse.1 The causative organisms are primarily gram-negative, coliform bacteria. The most commonly found organism is Escherichia coli. Other species frequently found include Klebsiella, Proteus, Enterococci and Pseudomonas. On occasion, cultures grow Staphylococcus aureus, Streptococcus faecalis, Chlamydia or anaerobes such as Bacteriodes species.9–13
Because acute infection of the prostate is often associated with infection in other parts of the urinary tract, patients may have findings consistent with cystitis or pyelonephritis. Patients with ABP may present with fever, chills, low back pain, perineal or ejaculatory pain, dysuria, urinary frequency, urgency, myalgias and varying degrees of obstruction.9,13
Typically, the prostate gland is tender and may be warm, swollen, firm and irregular. A standard recommendation is to avoid vigorous digital examination of the prostate, because, theoretically, that may induce or worsen bacteremia.
Although no test is diagnostic for acute bacterial prostatitis, the infecting organism can often be identified by culturing the urine.13 Initially, antibiotic selection is empiric, but the regimen can be modified once pathogen susceptibilities are available. Patients respond well to most antibiotics, although many cross the blood-prostate barrier poorly. The inflammation caused by ABP may actually allow better penetration of antibiotics into the organ.
What is nonbacterial prostatitis?
Nonbacterial prostatitis is swelling and irritation (inflammation) of the prostate that is not caused by bacteria. It is the most common type of chronic (long-term) prostatitis.To get more news about chronic nonbacterial prostatitis symptoms, you can visit our official website.
The prostate gland is part of a man’s reproductive system. It is about the size of a walnut and located between the bladder and the penis. The prostate gland surrounds the upper part of the urethra, the tube that carries urine from the bladder out through the penis. It makes fluid that nourishes sperm and helps carry it out of the body during sex.
Your healthcare provider will ask about your symptoms and examine you. You may have tests such as:
A rectal exam, which your provider does by gently putting a lubricated and gloved finger in your rectum to feel the prostate gland
Urine tests
Tests of fluid from your prostate
You may have tests to check for other possible causes of your symptoms, such as a sexually transmitted disease (STD).
Sometimes nonbacterial prostatitis responds promptly to treatment, but it is often hard to cure. Symptoms may last for weeks or months or may come and go for years. Your healthcare provider may prescribe medicine to:
Here are some things you can do to help relieve pain and other symptoms:
Follow the full course of treatment prescribed by your healthcare provider.
Take nonprescription pain medicine, such as ibuprofen or naproxen. Read the label and take as directed. Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen and naproxen, may cause stomach bleeding and other problems. These risks increase with age. Unless recommended by your healthcare provider, you should not take this medicine for more than 10 days.
Take a warm bath.
Take a stool softener if constipation is a problem.
Ask your provider:
How and when you will hear your test results
How long it will take to recover
What activities you should avoid and when you can return to your normal activities
How to take care of yourself at home
What symptoms or problems you should watch for and what to do if you have them
Make sure you know when you should come back for a checkup.
How can I help prevent prostatitis?
Avoid sexually transmitted diseases and infections (STDs and STIs). Use latex or polyurethane condoms every time you have sex. Have just 1 sexual partner who does not have sex with anyone else.
Keep your genital area clean. If you are a man who has not been circumcised, good hygiene includes gently pulling back the foreskin to wash the tip of the penis every time you bathe or shower. This helps to prevent urinary tract infections, which can lead to prostatitis. When done cleaning, gently put the foreskin back in place.
Get prompt treatment for any urinary tract problems. This lowers your risk for prostate problems.