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Sivasubramanian Geetha - - 2009
Candida krusei is an uncommon cause of vaginitis and cystitis but is unique because of the management challenge it poses due to intrinsic resistance to fluconazole and flucytosine. We report a case of C. krusei vaginitis and cystitis successfully managed with topical vaginal and intravesical amphotericin B. The challenges in ...
Lazarescu Adriana A Gastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, - - 2009
Fecal incontinence is a common disorder in our aging population and can have profound effects on patient's well-being. The present review examines the current understanding of fecal incontinence and provides a practical approach to the investigation and management of this condition. A special emphasis is placed on specialized testing, focusing ...
McCarthy Geraldine - - 2009
Background.  Bladder and bowel incontinence is a major health care problem, which adversely affects the lives of many individuals living at home or in health service facilities. Current approaches to continence care emphasize comfort, safety and reduction of risk, rather than detailed individualized assessment and management. The literature illustrates a ...
Kobashi Kathleen - - 2009
We present an overview of the current literature and management techniques for vaginal extrusion or urinary tract erosion of graft materials used in pelvic floor reconstruction. A MEDLINE search was performed to identify literature pertaining to the incidence and management of vaginal or urinary tract exposure of graft materials commonly ...
Soler Roberto - - 2009
Neurogenic bladder is a general term encompassing various neurologic dysfunctions in the bladder and external urethral sphincter caused by damage or disease. Therapeutic management options fall into the categories of conservative, minimally invasive or surgical. The current standard for surgical management is bladder augmentation using intestinal segments. However, because intestinal ...
Stetz Melba C - - 2009
Many military service members suffer from stress. Sixty Soldiers participated in a study designed to test receptivity to stress management techniques. Preliminary analyses of surveys and a focus group suggested that participants not only liked practicing relaxation techniques but would also continue practicing these after completion of the present study.
van den Hombergh Pieter - - 2009
The impact of high physician workload and job stress on quality and outcomes of healthcare delivery is not clear. Our study explored whether high workload and job stress were associated with lower performance in general practices in the Netherlands. Secondary analysis of data from 239 general practices, collected in practice ...
Basu Maya - - 2009
Duloxetine is a relatively balanced serotonin and noradrenaline reuptake inhibitor (SNRI), which is the first drug with widely proven efficacy to have been licensed for the medical treatment of women with stress urinary incontinence (SUI). Despite favorable results from randomized controlled trials, surgical management continues to be the mainstay of ...
Gray Mikel L - - 2008
Each year, millions of Americans are catheterized to ensure adequate bladder drainage. But despite the high rate of catheterization in acute care facilities, clinicians often pay little attention to the decision to insert an indwelling catheter, its optimal management, or especially its timely removal. A physician or NP typically orders ...
Vasdev Nikhil - - 2009
We describe the clinical presentation, radiology and clinical management of four neonates with spontaneous urinary bladder rupture and secondary urinary ascites seen in 1984 and two recent cases seen in 2007. All neonates had normal genitourinary systems on antenatal serial ultrasound scans. The management of these cases ranged from conservative ...
Billington A - - 2008
This article seeks to explore the clinical practice of urinary catheter fixation. Traditionally, this area of practice has been neglected and nurses are familiar with tension lesions and dermal problems associated with inappropriate or incorrect urinary catheter fixation. A novel solution to this problem is a catheter fixation device. This ...
Miyahara Masaaki - - 2008
Peace River is one of the few shocked members of the L-chondrites clan that contains both high-pressure polymorphs of olivine, ringwoodite and wadsleyite, in diverse textures and settings in fragments entrained in shock-melt veins. Among these settings are complete olivine porphyritic chondrules. We encountered few squeezed and flattened olivine porphyritic ...
Rendle D I - - 2008
Five horses with sabulous cystitis were managed for up to three years. They were treated by emptying the bladder through a urinary catheter and saline lavage with cytoscopic guidance to remove residual sabulous material. The cystitis was treated with antimicrobial and anti-inflammatory medications, and bethanechol chloride was also administered. Frequent ...
Sale Peter F - - 2008
Globally, our current management of coral reefs is inadequate and becoming more so as we place new and greater stresses on these ecosystems. The future looks very dim, and yet we have the capacity to do a far more effective job of reef management if we want to. Making substantial ...
Rahimi Eskandar - - 2008
To explore job stress among the 115 male managers in physical education from Fars province in Iran, participants completed the Job Stress Survey by Spielberger and Vagg. Analysis indicated that these managers experienced high frequency and severity of job stress, especially for an inadequate salary. Lack of organizational support contributed ...
Kryger John - - 2008
The neurogenic bladder can have many serious consequences. However, with proper understanding of the disease spectrum, and with proper awareness of the surveillance and management tools, adverse outcomes can be minimized. The incidence of renal failure is uncommon. With proper medical therapy, one can achieve continence and minimize the risk ...
Sakellaris George - - 2008
The authors report a previously unpublished association of bladder exstrophy with cleft lip, exomphalos, Meckel's diverticulum imperforate anus, and a large urachal mass protruding below the umbilicus. The baby underwent surgical repair of the condition and the postoperative recovery was uneventful. None of the theories formulated to explain the embryogenesis ...
Peres Mario F P - - 2007
Migraine and tension-type headache (TTH) are highly prevalent primary headaches that remain underdiagnosed and undertreated in clinical practice. The similarities and differences between migraine and TTH may impose diagnostic challenges as well as management difficulties. In addition, the possibility of migraine chronification or transformation in daily or near-daily headache raises ...
Willson J - - 2007
Hemiplegic migraine is an unusual variant of migraine, characterised by a temporary hemiparesis or hemiplegia associated with headache. We report a patient with hemiplegic migraine who developed atypical migraine with apnoeic spells, aphasia and hemiparesis following general anaesthesia. We review the clinical features of hemiplegic migraine and the considerations for ...
Papatsoris Athanasios G - - 2007
Stress urinary incontinence (SUI) is common in women, but it is under-reported and under-treated. We review here the management of SUI in women. Pelvic floor muscle training treats SUI in the majority of female patients, whereas anti-SUI devices are not widely accepted. Duloxetine has been approved for treating SUI. Suburethral ...
Malick Deonne - - 2007
OBJECTIVE: Stress velopharyngeal incompetence is the unwanted coupling of the oral and nasal cavities while brass and woodwind musicians play their instruments. This study investigated both (1) the prevalence of stress velopharyngeal incompetence in college musicians, delineating symptoms and situations possibly associated with the condition; and (2) physicians' experiences with ...
Higa Rosângela - - 2007
Was assessed the prevalence of urinary incontinence (UI), its interference in the performance of daily occupational activities and its management among the women's nurse staff of a medical school hospital in Campinas, Sao Paulo. Of the 291 employers, 27.5% reported UI complaint at least monthly. The activities that required greater ...
Tokunaga Shigehiko - - 2007
We report a successful case of extracorporeal membrane oxygenation (ECMO) support for a 7-year-old girl with acute fulminant myocarditis, and describe the pitfalls and management of ECMO. The problem with ECMO is that it may not reduce the afterload of the left ventricle (LV), and may be associated with increased ...
Onyeka B A - - 2006
Inorganic sling materials when used for treatment of urinary stress incontinence have a high success rate of achieving continence. They unfortunately attract the complication of vaginal tape erosion. When used for Transobturator tape procedure (TOT) we found the Obtape sling (Mentor-Porges, Le Plessis-Robinson, France) attracted a high rate of erosion, ...
Wagg Adrian - - 2007
Urinary incontinence is a common problem which increases in prevalence in association with advancing age and has a significant adverse effect upon well-being and quality of life. It is not the "benign" condition that many take it for. Overactive bladder (frequency-urgency syndrome) is the commonest bladder problem in late life, ...
Tattersall James A - - 2006
A 16-week-old, male border terrier was presented for urinary incontinence. Intravenous urography demonstrated a right-sided, extravesical ectopic ureterocele. Neoureterocystostomy and ureterocele omentalization were performed. Urinary incontinence persisted after surgery. Retrograde urethrography revealed communication between the ureterocele and urethra. Urinary incontinence resolved following partial ureterocelectomy and reconstruction of the proximal urethra.
Ku Ja Hyeon - - 2006
BACKGROUND: We undertook a survey of Korean urologists to establish initial treatment practices for acute urinary retention secondary to benign prostatic hyperplasia. METHODS: Probability samples were drawn from the Korean Urological Association Registry of Physicians, and a random sample of 850 Korean urologists were asked to complete a questionnaire that ...
Kitahara S - - 2006
Analysis of answers to a new questionnaire. To examine current practice patterns of physicians in the urological surveillance and management of spinal cord injury (SCI) patients in Japan. Nationwide questionnaire survey to physicians in Japan. A Japanese version of the 14-item questionnaire survey carried out in US was mailed to ...
Drew Richard H - - 2005
In this article, we review the issues surrounding funguria and its management. With this background, the value of bladder irrigation with amphotericin B for the management of funguria is directly examined. Amphotericin B bladder irrigation is used frequently in clinical practice. Although its use is not standardized, there are multiple ...
Doughty Dorothy - - 2005
Fecal and urinary diversions are fairly common among patients diagnosed with abdominal and pelvic malignancies who have undergone removal of the bladder or rectum or who have suffered from obstruction caused by tumor invasion or radiation damage. Effective ostomy management is important in palliative care and involves establishment of an ...
Pace Alistair M - - 2005
A 38-year-old female with a history of psychiatric illness presents with irritative urological symptoms and is diagnosed as having a large congenital vesical diverticulum (Hutch diverticulum). An overview of the aetiology, classification and complications of diverticula together with indications for and management of bladder diverticula is discussed. This is the ...
Smith Ariana L - - 2004
Stress urinary incontinence is a prevalent condition that may have a significant negative impact on a woman's quality of life. With improved awareness and research, new nonsurgical and surgical managements are being developed; noninvasive measures should be considered before invasive treatments. Pelvic floor exercises, biofeedback, and electrical stimulation may be ...
Doherty Willie - - 2004
Faecal incontinence is a problem that affects over 500,000 people in the UK, but unlike urinary incontinence is rarely spoken about or adequately addressed. The problem may arise from a range of causes, including obstetric trauma, surgery and neurological disorders. Like urinary incontinence, faecal incontinence can be managed. This article ...
Scarpero Harriette M - - 2004
The pubovaginal sling has been used to treat anatomic, functional, and recurrent stress urinary incontinence for decades with excellent results. Nevertheless, enthusiasm for the pubovaginal sling is tempered by the surgical morbidity and postoperative voiding dysfunction associated with it. New modifications such as alternative sling materials, bone anchor suspension, and ...
Morley John E - - 2004
Although there have been dramatic improvements in the management of incontinence since the 1940s, this area remains a major challenge to the geriatrician. Patients need to be asked regularly if they are incontinent and, after the diagnosis is made, should be given a rational treatment plan. Urodynamics should not be ...
Ali A - - 2004
Nocturia is common in older people and it may be bothersome for both patients and carers. It is most commonly related to bladder storage difficulties and nocturnal polyuria. The former results most frequently from an uninhibited overactive bladder. The latter occurs as a consequence of age-associated changes in the circadian ...
Mourtzinos Arthur - - 2004
Bladder exstrophy is a complex anomaly involving the urinary, genital, and intestinal tracts and the musculoskeletal system. The diagnosis is made typically at the newborn examination or on fetal ultrasonography that is performed by an experienced observer. Management of bladder exstrophy presents several challenges, beginning with initial repair using the ...
Bledsoe Bryan E - - 2003
It is clear that it is very difficult to treat trauma-related stress after the fact. EMS and fire personnel must develop personal stress management strategies and have a personal-support system in place. Most stresses in EMS are the day-to-day hassles of the job. Occasionally, some of us will be involved ...
Robinson Dudley - - 2003
The urogenital tract and lower urinary tract are sensitive to the effects of oestrogen and progesterone throughout adult life. Epidemiological studies have implicated oestrogen deficiency in the aetiology of lower urinary tract symptoms occurring following the menopause. Although to date the role of oestrogen replacement therapy in the management of ...
Garcia Evangeline - - 2003
The purpose of this article was to document the efforts of two military installations in facilitating Critical Incident Stress Management teams for Federal Emergency Management Agency Rescue and Recovery Units following the attacks on the World Trade Center on September 11, 2001. McGuire Air Force Base accepted the mission to ...
Türker Köksal Ismail - - 2003
Cowper's syringocele is an uncommon deformity in the male urethra that is a distention of the duct of the Cowper's gland. Symptoms attributed to Cowper's syringocele in adults consist of lower urinary tract symptoms. To our knowledge there are no data on acontractile bladder due to Cowper's syringocele. We describe ...
Kumar Pawan - - 2003
A 17-year-old male boy presented with clinical features of pseudohypospadias (small penile stump with absent distal penile urethra) associated with very small capacity bladder and bilateral grade IV vesicoureteric reflux following suprapubic urinary diversion for multiple urethro-cutaneous fistula and periurethral abscess which developed as a consequence of inappropriate initial management ...
- - 2002
Achieving control of urinary continence is the key to achieving an independent lifestyle. A wide range of interventions and resources exist to assist in the successful management of urinary incontinence. This chapter provides the clinician with and introduction to management principles, some resources and also outlines the roles o specialist ...
Swanson J Graham - - 2002
OBJECTIVE: To determine current knowledge, attitudes, and management of urinary incontinence among family physicians in Canada. DESIGN: Cross-sectional mailed survey. SETTING: Family physicians in Canada. PARTICIPANTS: A random sample of 1500 members of the College of Family Physicians of Canada. MAIN OUTCOME MEASURES: Self-assessed knowledge, self-reported attitudes, and rating of ...
Hammond J - - 2001
Healthcare and prehospital workers involved in disaster response are susceptible to a variety of stress-related psychological and physical sequelae. Critical incident stress management, of which critical incident stress debriefing is a component, can mitigate the response to these stressors. Critical incident stress debriefing is a peer-driven, therapist-guided, structured, group intervention ...
Mokrzycki M L - - 2001
To identify variables predictive of pessary discontinuation in the treatment of pelvic organ prolapse. Forty-two women with symptomatic pelvic organ prolapse presenting at a hospital-based urogynecology practice without a prior history of pessary use who opted for this form of management were included in the study. Data collected included vaginal ...
Fuchs K - - 2001
Modern civilisation explores and penetrates the interior of the Earth's crust, recovers from it and stores into it solids, fluids and gases to a hitherto unprecedented degree. Management of underground structures such as boreholes or reservoirs take into account the existing stress either to take advantage of it or at ...
- - 2001
Urinary incontinence affects around 3.5 million people of all ages in the UK. For many, incontinence severely restricts their routine activities and damages their quality of life and self-esteem. In about one-third of women sufferers, and around a half of all men with incontinence, the cause is detrusor instability. This ...
Dawra R K - - 2001
Onychium contiguum (Family Cryptogrammaceae) is a common terrestrial fern in the Himalayas and in many other parts of the world. It is also present on the pastures in areas where grazing animals suffer from bovine urinary bladder cancer. This fern is occasionally grazed by animals and in some areas it ...
Pascoe G - - 2001
Urinary incontinence can have a significant detrimental effect on a person's body image and self-esteem because it undermine society's norms relating to control of the body. This can be further complicated by the use of devices to control urinary incontinence. Sheath drainage systems are the most common method of managing ...
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