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Results 201 - 248 of 248
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Smith L - - 1989
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 ...
Siegel S W - - 1989
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 ...
Hilton P - - 1988
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 ...
Harry J L - - 1988
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. ...
Borzyskowski M - - 1988
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 ...
Giordano D R - - 1989
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.
Goble N M - - 1987
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 ...
Kramolowsky E V - - 1986
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 ...
Webster G D - - 1986
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 ...
Walther P J - - 1985
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 ...
Sukumar E - - 1985
A detailed review on Guggulu, covering its botanical, Chemical Pharmacological and Ayurvedic aspects, is presented here.
Koch M O - - 1985
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 ...
Parrott T S - - 1985
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 ...
Houston M C - - 1984
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, ...
Dever D P - - 1983
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 ...
Rydesky M M - - 1983
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 ...
Graham F E FE - - 1983
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 ...
Bainton D - - 1982
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 ...
Sailer H R - - 1982
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, ...
Hoskins J A - - 1982
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. ...
Niehouse O L - - 1981
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. ...
Thomas T M - - 1981
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 ...
Sullivan T - - 1981
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 ...
Benson H - - 1980
"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 ...
Whitfield M D - - 1980
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 ...
Borden T A - - 1980
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 ...
Silen W - - 1980
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 ...
Carpiniello V L - - 1977
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.
Uehling D T - - 1977
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 ...
Sotiropoulos A - - 1975
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 ...
Baum N - - 1975
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 ...
Wright C J - - 1974
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 ...
Sweetnam R - - 1974
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 ...
Lance J W - - 1970
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 ...
Doherty Willie - - 2004
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 ...
Copson Dale - - 2006
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 ...
Holland Flynn Mairead - - 2012
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 ...
Doherty W - - 2003
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 ...
Mathur Sunil - - 2006
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 ...
Haslam Collette - - 2009
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 ...
Pellatt Glynis Collis - - 2008
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 ...
Brodie Adele - - 2006
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 ...
Olsen-Vetland Pamela - - 2003
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 ...
Wells Mandy - - 2008
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 ...
Pellat Glynis Collis - - 2008
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 ...
MONSELISE S P - - 1959
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 ...
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