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 ...

Neurogenic bladder disease generally is though to be a contraindication to urinary undiversion. We describe a teenage boy who received an ileal conduit for an areflexic neurogenic bladder. He had a poor emotional reaction to the diversion and requested reconstruction. After extensive studies undiversion was done. The neurogenic bladder has ...

Multiple, shallow erosions of the gastric mucosa occur with near universality after severe physiologic stress - e.g., burns, trauma, septic shock - and heal spontaneously after restoration of normal defense mechanisms. But in the interim, they may lead to exsanguinating hemorrhage. The key to prevention and management is maintenance of ...

Two methods of ureterotomy closure, loose adventitial closure and an unsutured incision, were evaluated and compared in 89 cases of simple ureterolithotomy. The loose adventitial closure was associated with a significantly shorter period of postoperative urinary drainage and a lower incidence of ureteral narrowing found at follow-up urographic examination.

Obstruction and neurogenic bladder involvement are common with sacroccygeal teratomas but external genital involvement is rare. A genetic (46XY) male infant required cystotomy, colostomy and sex-of-rearing change to enable surgical removal of a sacrococcygeal teratoma that surrounded the hypospadiac urethra and deviated the penis. An associated ventral congenital transposition of ...

The evolution of the management of incontinence with electronic techniques is reviewed. Seven patients with urinary incontinence due to various causes were treated with external stimulators connected to intra-anal plug electrodes. One cure, 2 controls, 3 improvements, and 1 failure were noted. There are encouraging signs in the management of ...

Two methods of bladder closure have been evaluated in dogs. A conventional two-layer closure including the mucosa and a single layer running horizontal mattress extramucosal closure have been compared. Observations including adequacy of healing, strength of scar, degree of inflammatory reaction, dna degree of bladder adhesions have been made. The ...

The main types of shock seen in clinical practice are discussed with emphasis on practical management considerations. The clinical features of the shock syndrome are described and the underlying cause is explained for each of the three types commonly encountered, namely hypovolemic, cardiac and septic shock. The essential information required ...

The various types of primary tumour that may affect the bones are reviewed. No attempt is made to cover so wide a field in detail, but the more important clinical, radiological, and histological features of each type of tumour are emphasized and its management outlined. Mention is also made of ...

The effectiveness of five different serotonin antagonists in the prevention of migraine was compared in 290 patients followed for periods of up to three years. Methysergide 3-6 mg. daily was most effective, with 20% of treated patients becoming headache-free and a further 44% remaining more than "half improved." The corresponding ...

This article is reprinted from the proceedings of the Horse Breeders and Owners Conference held in Red Deer, Alberta, Canada on January 10-12, 1997. Authored by Dr Carolyn Stull, an extension specialist from the School of Veterinary Medicine, University of California, Davis, this article looks at physiology, balance, and management ...

Management of Short Term Indwelling Urethral Catheters to Prevent Urinary Tract Infections is one of a series of Best Practice publications that provide evidence based practice information for health professionals. This information sheet, which is based on a systematic review of research published by the Joanna Briggs Institute, covers the ...

Incontinence can be a devastating problem to many individuals. It is embarrassing and limiting socially, and prevents those with the problem from going about their day-to-day activities. People adopt coping strategies to manage the problem and those with urinary incontinence often look for containment products such as disposable pads or ...

This article discusses good skin care in relation to the management of incontinence. It outlines the structure and functions of the skin and describes how the skin changes as we age. It examines how incontinence can damage the skin and provides an overview of the current management methods that are ...

In the healthcare setting, occupational blood exposure (OBE) is a well recognised hazard. Following exposure, prompt and correct management is required to prevent infection and minimise adverse psychological impact. The aim of the study was to ascertain whether or not documentation of the management and follow up of OBEs was ...

The development of adult or larger-sized all-in-one incontinence products continues to improve. The latest addition to the many products available for the management of moderate to heavy urinary incontinence is TENA flex, manufactured by SCA Hygiene Products. TENA flex is an all-in-one belt-style product, which does not require separate fixation ...

Weekly measurement of urinary pH has become a standard part of long-term catheter management in many parts of the UK. The common problem of catheter encrustation is caused by urease-producing bacteria which also tend to produce alkaline urine. To determine if urinary pH changes in individual catheter users provided enough ...

In the UK today there are thought to be more than 85,000 people with multiple sclerosis (MS). Approximately 75% will go on to develop bladder symptoms, usually as a result of spinal cord involvement, which is a feature of the condition. In the UK practitioners now aim to arrange management ...

This article addresses physical and psychosocial issues in neurogenic bladder management. The impact of neurogenic bladder and its assessment will be discussed. There are a wide range of treatment options available to manage neurogenic bladder dysfunction and this article offers an overview of key management techniques, including non-invasive techniques, self-intermittent ...

Urinary sheaths are a treatment option for the management of urinary incontinence but unfortunately their use is not widespread. They are available as one- and two-piece systems, but the one-piece sheath is more commonly used. Adele Brodie outlines the assessment process that should be followed before selecting a sheath. She ...

Of the many people who experience a stroke each year, a significant proportion experience urinary incontinence as a consequence. This article considers the causes of incontinence following a stroke and the impact this has on the individual. The practice of assessing and promoting continence is then examined, together with the ...

Urinary incontinence (UI) is a common problem, experienced by both men and women, and has a significant impact on quality of life. For male patients, UI can be caused by a number of conditions, including post-prostatectomy, neurogenic problems (such as Parkinson's disease, multiple sclerosis and spinal cord injury), dementia, and ...

There are a number of neurological conditions that cause bladder and bowel problems in the form of neurogenic bladder and bowel dysfunction. Both have a considerable impact on a person's quality of life. Nurses have an important role to play in supporting patients when considering the options available to manage ...

Tenderness of coastal-grown citrus fruit to fumigation, spray, and storage practices, and to frost, as compared with fruit grown in the drier interior districts of southern California, is correlated with lower puncture-pressures and higher moisture content of peel. The hardening effect of moisture stress is also exhibited by fruit from ...