There are many occupational stress management programmes available which are designed to prevent and cure the negative aspects of job-stress. The focus of the programmes can be directed towards the individual worker, the working group, the organization of the work or the organization as a whole. Moreover, programmes show a ...

Urolithiasis in childhood is of diverse etiology requiring carefully planned individualized diagnostic and management protocols. The efficiency in diagnosis and management of urolithiasis in childhood follows a learning curve, especially when using the more recent technical innovations for management of urinary calculi. With current technical sophistication of transurethral and percutaneous ...

Although endoscopic lithotripsy of bladder stones has been well described and is widely practiced, comparison of the main modalities of mechanical, electrohydraulic, and ultrasonic lithotripsy is lacking. The exact role of these and other modalities such as the Swiss Lithoclast and extracorporeal shockwave lithotripsy is not clearly defined. The safety ...

The management of spinal cord injured (SCI) patients with small capacity, noncompliant bladders has focused on the preservation of renal function and social continence. When conservative management is unsuccessful, surgical intervention may prove beneficial. Augmentation enterocystoplasty is a reliable method of achieving increased bladder capacity while decreasing intravesical filling pressure. ...

Management of intrinsic sphincter deficiency (ISD) can be achieved by many techniques. Those patients suffering from urinary incontinence secondary to ISD have often undergone multiple prior procedures for management of incontinence; therefore, an ideal form of treatment would be one that is minimally invasive and safe without compromising efficacy. The ...

A qualitative research methodology was used to compare the stress experienced by dentists working under two different systems of remuneration. No absolute difference was found in the levels of stress experienced by the two groups, as measured by a questionnaire measure of stress experience. Both groups of dentists identified patient ...

This article describes in detail the modern management of the patient born with classic bladder exstrophy. Also, new techniques of prenatal diagnosis and pelvic fixation to secure the initial or secondary closure are discussed. Last, management of the failed closure and the bladder not suitable for closure are described and ...

OBJECTIVE: To describe the assessment and management of constipation and fecal incontinence in elderly patients. DESIGN: We reviewed pertinent publications in the recent medical literature and outlined effective management strategies for constipation and fecal incontinence in the geriatric population. RESULTS: Constipation can be classified into two syndromes--functional constipation and rectosigmoid ...

To various degrees, all continent pouch designs are subject to stones, which often are infected. We report on the endourologic management of large stone burdens in three types of continent reservoirs. Stone in a UCLA and a Kock pouch were managed endoscopically, and stones in an augmented pouch with a ...

This article presents a practical approach to stress management in the clinical laboratory setting. While advocating a proactive approach to stress management, the underlying principle of this paper is that several well-documented human resource techniques should be more widely interpreted and implemented to serve as stress management techniques. Major sources ...

In this exploratory and descriptive study, the self-management of urinary incontinence among women 31 to 50 years old is described. Eight self-selected women participated in unstructured tape-recorded interviews that were guided by an interest in understanding women's perceptions about their incontinence. Self-management comprised five specific methods: (a) modifying or avoiding ...

Candiduria, due to Candida albicans, Candida glabrata and other organisms, has increased in frequency due the use of broad-spectrum antibacterials, immunosuppressive agents and other factors. The optimal management of candiduria is unknown due to an unclear definition of fungal urinary tract infection and the lack of well-designed clinical trials. Removal ...

This article provides a logical approach to the evaluation and management of urinary incontinence in the perimenopausal and postmenopausal woman. The impact of the climacteric on normal anatomy and physiology of the female continence mechanism is addressed. Primary office evaluation and guidelines for referrals are provided. The surgical and nonsurgical ...

The author through personal experience has gained knowledge in the area of infertility and stress management. Her professional background supports the experiences, emotions and management techniques encountered with sound theoretical knowledge. This article deals with some of the procedures confronting a couple who experience infertility problems. It aims to explain ...

A frequent and largely neglected problem, incontinence in the elderly can often be ameliorated or cured. Transient incontinence is usually secondary to intercurrent disease and thus should be addressed by treatment of that pathology. Established incontinence is most often due to detrusor hyperactivity. Behavioral intervention and bladder relaxants are management ...

Levels of stress in carers of long-term schizophrenia sufferers attending a depot clinic were assessed. Nine out of 25 carers (36%) were identified as possible or definite cases on either the GHQ or the HAD. However, a substantial proportion of carers managed to cope with the difficulties without suffering psychologically.

Primary care providers are confronted on a daily basis with persons who are addicted to tobacco. Research studies have demonstrated an association between substance use and stress and coping. This paper discusses macro- and micro-level perspectives of stress that need to be considered in the management of tobacco addition. Lazarus's ...

An initial evaluation of PEG-bHb was performed using a modified hypovolemic shock model. PEG-bHb had a substantially longer intravascular half-life than native Hb and no measurable hemoglobinuria was observed in the canine. PEG-bHb allowed successful resuscitation with an oxygen carrying capacity of 14-22% over that of lactated Ringer's solution.

Although much has been written about the debilitating effects of stress at work and courses designed to help staff understand and cope with the problem proliferate, many managers still have to be convinced that stress needs to be tackled--if only because it eats into profits. Occupational psychologist Jack Lamport Mitchell ...

Despite the fact that the AS-800 artificial urinary sphincter represents a significant advance in the treatment of urinary incontinence, for many reasons, incontinence persists or recurs in a small percentage of cases. This is often a challenging problem to manage; however, a logical and sequential approach (as outlined in the ...

For many elderly inpatients, urinary incontinence cannot be successfully treated and the management objective is identifying a suitable method for containment of urine loss. In elderly inpatient men, an external catheter is utilized in many cases for incontinence management. The role of the severity of incontinence and the use of ...

Thirty-five patients with irritable bowel syndrome were randomized to receive treatment in a stress management programme or conventional therapy which included the antispasmodic Colpermin. The stress management programme involved a median of six 40-min sessions with a physiotherapist during which patients were helped to understand the nature of their symptoms, ...

Stress in the workplace is now widely recognized as a major problem facing American industry. A growing number of companies are offering some form of stress management intervention. However, for those seeking to introduce stress management activities, too little in the way of guidance and direction has been available. This ...

When managed effectively, stress can lead to more productive, creative, and successful lives at home and in the workplace. Through exercise, relaxation, and a network of social support, stress can be managed and channeled. Other attributes of a healthy, stress-managed lifestyle include good nutrition, a sense of humor, and strong ...

Basal, preoperative and postoperative perception thresholds and pain tolerance thresholds were studied in 32 patients undergoing minor oral surgery using monopolar stimulation of a vital anterior tooth. Significant differences were found between the perception and pain tolerance thresholds, the basal and preoperative perception and pain tolerance thresholds being higher than ...

The anatomical presentations of three neonates with cloacal anomalies are described. A description is given of their assessment and management by defunctioning colostomy and later a posterior sagittal anorectovaginourethroplasty. Though too early to assess the final degree of bladder and bowel continence, one is currently almost normally continent and one ...

Prostheses for the treatment of urinary incontinence have evolved from early passive compressive devices, which were limited to use in men, to the current AS-800, which is suitable for both sexes. The device represents continued improvement and streamlining of several earlier models. Parallel advances in surgical technique and perioperative management ...

All 2836 members and fellows of the Royal College of Obstetricians and Gynaecologists were circulated with a questionnaire concerning catheterization practices; 1229 replies were received, an overall response rate of 43%; the response rate from practitioners of consultant and senior registrar status was 67%. Practices varied considerably, some aspects of ...

Genotypic ratios within clutches of loggerhead turtle (Caretta caretta) embryos, from the Mon Repos rookery (Queensland), deviate significantly from the Mendelian ratios expected on the null hypothesis of single paternity. One-third of all clutches provide evidence for multiple insemination, indicating that multiple mating constitutes the major breeding pattern for C. ...

The key factors in the management of the neuropathic bladder are an understanding of the pathophysiology and natural history of the bladder and urethral dysfunction, an understanding of the urodynamic investigation of such problems, and a realistic approach to treatment. Those children with good motivation, intelligence, mobility and manipulative skills ...

A 13-year-old hypospadic boy with a urethral stone was successfully treated with extracorporeal shock wave lithotripsy after various unsuccessful attempts at urological extraction. The easiness of ESWL application in this case and the quick elimination of the stone suggest that ESWL should be considered in the management of urethral calculi.

The advent of percutaneous nephrolithotomy (PCN) and ureteroscopy, in combination with stone disruption techniques, has dramatically altered the management of upper urinary tract stone disease. These advances are not necessarily confined to the teaching centres. The problems encountered introducing these techniques in a District General Hospital and their impact on ...

As with many new treatments in medicine, time will determine the place of extracorporeal shock wave lithotripsy (ESWL) in management of urinary calculi. It may be that a combination of methods will prove most effective. However, at the present time, ESWL provides a noninvasive means of fragmenting calculi so that ...

The urological evaluation and results of management of 183 myelodysplastic patients are presented. Our management protocol stresses upper tract and infection status surveillance during the early childhood years, and a clean intermittent catheterisation programme with pharmacological manipulation of detrusor and sphincter function as the optimal later management. Continence failures are ...

The use of single pigtail soft silicone self-retaining ileal conduit stents appears to have particular value in the perioperative management of patients with a Kock pouch continent urinary diversion. Stenting provides greater assurance of sustained internal urinary diversion, lessening concern regarding anastomotic leaks from the pouch itself. This technique also ...

A detailed review on Guggulu, covering its botanical, Chemical Pharmacological and Ayurvedic aspects, is presented here.

The hyperchloremic metabolic acidosis which can occur following urinary diversion through intestinal segments has been managed with bicarbonate or citrate salts. However, satisfactory management is not always possible with this form of treatment. The development of this acidosis has been attributed to intestinal reabsorption of urinary solutes or intestinal secretion ...

The urologist has assumed a major role in the management of the child with imperforate anus. Fistulas from the rectum to the urinary tract, as well as associated genitourinary anomalies such as vesicoureteral reflux, make the urologist an important member of the team managing imperforate anus. Special spheres of urologic ...

Recent investigations have underscored the great diversity in both the causes and manifestations of clinical shock. The emphasis has shifted toward more specific therapy when that has been possible. Pure vasoconstrictors have assumed a secondary therapeutic role, as volume replacement or expansion has become the initial management of shock. Agents, ...

Accurate diagnosis and successful management depend on knowledge of the anatomy and regulatory physiology of micturition. Incontinence is classified according to its mechanisms--passive incontinence, active incontinence with or without complete emptying, and overflow incontinence. Approaches to management include pharmacotherapy, surgical procedures and important steps in supportive care. This is a ...

The author defines two categories of stress and their many causes. Examples of stressful situations in biocommunications are given with tips on their management. She then focuses on the "frustration cycle" and shows how failure to deal with it may lead to feelings of helplessness on the job; thus the ...

Stress has been identified as a leading cause of disease in our society. The dynamics of the healthcare administration profession cause managers to be easy victims of this contemporary disorder. Many people realize that an antidote to stress is leisure-time hobbies. To find out what managers do with their leisure ...

Fifty-one female patients, incontinent of urine, were asked to compared two different combinations of pants and pads used in the ambulatory management of their incontinence. They were offered the Kanga pant with a Kanga pad and the Sandra pant with a Bambi pad. Each patient tried both pants and pads ...

Because of the negative effect stress has on employee health and productivity, ways to manage stress should be of particular concern to human resources managers. Recognizing this, authors Heather R. Sailer, territorial sales representative for American Medical Systems, a division of American Hospital Supply Corporation, John Schlacter, professor of marketing, ...

The hypothesis that the action of an oral preparation of the enzyme phenylalanine ammonia lyase, used to lower blood phenylalanine levels in phenylketonuria, is by removal of phenylalanine from hydrolysed protein in the lumen of the gut has been examined. Phenylalanine ammonia lyase mediates the conversion of phenylalanine to cinnamate. ...

Burnout, the total depletion of one's physical and mental resources, was first recognized as a syndrome among professionals in the helping professions: teaching, nursing, and social work, for example. Small wonder, then, that human resources managers, whose jobs are concerned with people and their problems, are prime candidates for burnout. ...

We investigated the management of urinary incontinence in 50 patients with multiple sclerosis (MS) in two London boroughs. Only seven appeared to be satisfied with the management of their bladder problems. A total of 51 suggestions was made for improving management in 33 of the patients. Most of these suggestions ...

An integrated method of management has been used in 29 children with neurogenic bladders and vesicoureteral reflux. Radiological followup reveals that resolution or improvement of reflux occurred in 48 per cent of the renal units managed by close observation only, 48 per cent managed by intermittent catheterization, 75 per cent ...

"There is no question that a certain amount of stress is good," says one of the chief executives quoted in this article. "If I have a particularly easy week, I can feel an ache or pain, but if I get really busy, I feel really much better." But when managers ...

The practice of psychotherapy is a stressful occupation, both emotionally and physically. Becoming a better psychotherapist probably results in increasing the stress rather than decreasing it. If we do not recognize this we will respond in ways that are damaging either to our patients or to ourselves. Rather than attempting ...