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Toilet avoidence

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https://www.readbyqxmd.com/read/28157790/physical-design-factors-contributing-to-patient-falls
#1
Debajyoti Pati, Shabboo Valipoor, Aimee Cloutier, James Yang, Patricia Freier, Thomas E Harvey, Jaehoon Lee
OBJECTIVES: The aim of this study was to identify physical design elements that contribute to potential falls in patient rooms. METHODS: An exploratory, physical simulation-based approach was adopted for the study. Twenty-seven subjects, older than 70 years (11 male and 16 female subjects), conducted scripted tasks in a mockup of a patient bathroom and clinician zone. Activities were captured using motion-capture technology and video recording. After biomechanical data processing, video clips associated with potential fall moments were extracted and then examined and coded by a group of registered nurses and health care designers...
February 3, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28027949/toileting-behaviours-and-lower-urinary-tract-symptoms-among-female-nurses-a-cross-sectional-questionnaire-survey
#2
Xiaojuan Wan, Chen Wu, Dongjuan Xu, Liqun Huang, Kefang Wang
BACKGROUND: Unhealthy toileting behaviours exist among women, and lower urinary tract symptoms have a high prevalence and significant effects on quality of life. However, the relationship between toileting behaviours and lower urinary tract symptoms is unclear. OBJECTIVES: This study aimed to investigate the prevalence of lower urinary tract symptoms among female nurses, and the association between toileting behaviours and lower urinary tract symptoms. DESIGN: A cross-sectional stratified cluster sampling study...
October 21, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27993095/personnel-dose-reduction-in-90-y-microspheres-liver-directed-radioembolisation-from-interventional-radiology-suite-to-patient-ward
#3
Martin Law, K K Wong, W K Tso, Victor Lee, M Y Luk, C C Tong, Ferdinand Chu
OBJECTIVE: To describe a method to reduce the external radiation exposure emitted from patient after liver-directed radioembolisation using (90)Y glass microspheres, to quantitatively estimate occupational dose of medical personnel providing patient care to the radioembolised patient with the use of the method, to discuss radiation exposure to adjacent patients if the radioembolised patient needs hospitalisation. METHOD: A lead lined blanket of lead equivalence of 0...
December 20, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27978580/toilet-phobia-and-toilet-refusal-in-children
#4
Catharina Wagner, Justine Niemczyk, Alexander von Gontard
Objective: Toilet refusal syndrome (TRS) is a common disorder in toddlers, defined by use of diapers and refusal of toilet for defecation, while toilet phobia (TP) is a rare disorder in which toilets are avoided completely. Both disorders have not been described systematically in children, yet. Therefore, the aim was to present typical case vignettes illustrating different clinical presentations of TP and TRS. Methods: 5 typical cases were selected from all patients presented at a specialized outpatient clinic for incontinence at a tertiary university hospital during the last 3 years...
January 2017: Klinische Pädiatrie
https://www.readbyqxmd.com/read/27824653/physical-activity-habits-limitations-and-predictors-in-people-with-inflammatory-bowel-disease-a-large-cross-sectional-online-survey
#5
Garry A Tew, Katherine Jones, Antonina Mikocka-Walus
BACKGROUND: Limited evidence suggests that physical activity has beneficial effects in people with inflammatory bowel disease (IBD). This study aimed to determine the physical activity habits of adults with IBD, the limitations to physical activity they experience because of their disease, and the extent to which their physical activity is affected by various demographic, clinical, and psychological factors. METHODS: Data were collected on 859 adult participants (52% with Crohn's disease, 75% women) through an online survey conducted between May and June 2016...
December 2016: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/27771423/short-term-complications-after-pyeloplasty-in-children-with-lower-urinary-tract-anomalies
#6
Rafal Chrzan, Wojciech Panek, Caroline F Kuijper, Peter Dik, Aart J Klijn, Keetje L de Mooij, Tom P de Jong
OBJECTIVE: To investigate whether children with lower urinary tract (LUT) anomalies are at greater risk for postoperative complications after laparoscopic pyeloplasty stented with a double-J catheter (JJC). MATERIALS AND METHODS: Prospectively collected data of laparoscopic pyeloplasty (LP) performed between 2006 and 2015 were analyzed. Inclusion criteria are (1) toilet-trained child and (2) unilateral dismembered pyeloplasty stented with a JJC done by the same surgeon...
October 19, 2016: Urology
https://www.readbyqxmd.com/read/27747686/red-brown-urine-discolouration-in-two-patients-taking-mesalamine
#7
Tim Smeets, Florence van Hunsel
A 38-year-old male and a 36-year-old female experienced red-brown urine discolouration after 2 and 3 days, respectively, during the use of mesalamine for inflammatory bowel disease. Both patients mentioned that the urine discoloured after contact with sodium hypochlorite detergent in toilet water. Mesalamine and the inactive metabolite N-acetyl-5-aminosalicylic acid are primarily excreted in the urine. We hypothesised a possible reaction with sodium hypochlorite and/or light. Naranjo assessment scores of 9 and 6 were obtained for the reports, indicating a certain and probable relationship, respectively, between the red-brown urine discolouration and the use of the suspect drug mesalamine...
December 2016: Drug Safety—Case Reports
https://www.readbyqxmd.com/read/27714466/how-i-do-it-the-pedicled-temporoparietal-fascia-flap-for-skull-base-reconstruction-after-endonasal-endoscopic-approaches
#8
Mathieu Veyrat, Benjamin Verillaud, Philippe Herman, Damien Bresson
BACKGROUND: Endoscopic endonasal approaches (EEA) are an alternative for removing challenging nasopharyngeal or skull base lesions. In some cases, a nasoseptal flap (NSF) is not always available and such complex procedures may lead to carotid arteries exposition and/or dura mater (DM) wide opening. Meticulous carotid coverage and DM reconstruction are crucial for preventing early and delayed complications. METHOD: We propose a step-by-step description of the pedicled temporoparietal fascia flap (TPFF) technique, with a focus on its pitfalls, advantages and limits...
December 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27579260/investigating-incidence-of-bacterial-and-fungal-contamination-in-shared-cosmetic-kits-available-in-the-women-beauty-salons
#9
Leila Dadashi, Reza Dehghanzadeh
BACKGROUND: Rich texture of cosmetics can provide a suitable medium for growth of pathogenic microorganisms. In addition, skin microflora of anyone is unique which might be harmful to another person. Skin and eye pathogenicity could be communicated by sharing cosmetics in beauty saloons. The main objective of this study was to evaluate microbial contamination of in-use skin and eye cosmetics which are available as public make-up kits for women in the beauty salons. METHODS: Fifty-two in-use skin and eye cosmetics were included in this cross sectional study...
2016: Health Promotion Perspectives
https://www.readbyqxmd.com/read/27552796/early-intervention-crucial-in-anxiety-disorders-in-children
#10
Helen Griffiths, Mina Fazel
Anxiety disorders are among the most common mental health disorders of childhood. Three quarters of anxiety disorders have their origins in childhood, with presentation often chronic in nature. Children with an anxiety disorder are 3.5 times more likely to experience depression or anxiety in adulthood, highlighting the importance of early diagnosis and appropriate treatment. Making a diagnosis can often prove difficult. It is important for clinicians to distinguish between normal anxiety and anxiety disorders...
June 2016: Practitioner
https://www.readbyqxmd.com/read/27419675/-nursing-diagnoses-of-urinary-incontinence-in-patients-with-stroke
#11
Telma Alteniza Leandro, Thelma Leite de Araujo, Tahissa Frota Cavalcante, Marcos Venícios de Oliveira Lopes, Tyane Mayara Ferreira de Oliveira, Ana Cecília Menezes Lopes
OBJECTIVE: Identifying the prevalence of Stress urinary incontinence (SUI), Urge urinary incontinence (UUI), Functional urinary incontinence (FUI), Overflow urinary incontinence (OUI) and Reflex urinary incontinence (RUI) nursing diagnoses and their defining characteristics in stroke patients. METHOD: A cross-sectional study with 156 patients treated in a neurological clinic. Data were collected through interviews and forwarded to nurses for diagnostic inference...
December 2015: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27374001/assistive-devices-hip-precautions-environmental-modifications-and-training-to-prevent-dislocation-and-improve-function-after-hip-arthroplasty
#12
REVIEW
Toby O Smith, Paul Jepson, Andrew Beswick, Gina Sands, Avril Drummond, Edward T Davis, Catherine M Sackley
BACKGROUND: Total hip arthroplasty (THA) is one of the most common orthopaedic operations performed worldwide. Painful osteoarthritis of the hip is the primary indication for THA. Following THA, people have conventionally been provided with equipment, such as raised toilet seats and chairs, and educated to avoid activities that could cause the hip joint to be in a position of flexion over 90 degrees, or adduction or rotation past the midline. These aspects of occupational therapy have been advocated to reduce the risks of prosthesis dislocation...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27242942/solitary-myofibroma-of-the-bladder-trigone-in-a-3-month-old-patient-first-case-report
#13
Marco Pensabene, Fortunato Siracusa, Vito Rodolico, Giuseppe Li Voti, Elisa Zambaiti, Marcello Cimador
Visceral solitary myofibromas are uncommon in childhood. We report a case of a solitary asymptomatic visceral myofibroma of the bladder trigone occurring in a 3-month-old boy. Once malignancies were ruled out by cystoscopy, radical excision was performed in order to avoid any potential impairment of bladder dynamic. Postoperative course was uneventful and patient was discharged on day 3 after surgery. After 36 months of follow-up, the patient is toilet-trained and remains well; bladder function is normal.
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27117998/-constipation-in-infants-and-children-how-should-it-be-treated
#14
O Mouterde
Functional constipation is a common pediatric problem in general practice and even more so in pediatric gastroenterology clinics. Treatment is often delayed with psychosocial and digestive consequences. However, treatment is well codified and effective. Hyperosmotic mineral water, diet, and endoanal medications are not treatments for established constipation, whatever the age. The lactulose/lactitol-based medications are authorized and effective before 6 months of age and polyethylene-glycol for infants over 6 months...
June 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/26937179/managing-neurogenic-bowel-dysfunction-what-do-patients-prefer-a-discrete-choice-experiment-of-patient-preferences-for-transanal-irrigation-and-standard-bowel-management
#15
Beenish Nafees, Andrew J Lloyd, Rachel S Ballinger, Anton Emmanuel
BACKGROUND: Most patients with bowel dysfunction secondary to neurological illness are managed by a range of nonsurgical methods, including dietary changes, laxatives, and suppository use to transanal irrigation (TAI). The aim of the present study was to explore individuals' preferences regarding TAI devices and furthermore investigate willingness to pay (WTP) for attributes in devices in the UK. METHODS: A discrete choice experiment survey was conducted to evaluate the patients' perceived value of TAI devices...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/26371734/management-of-constipation-in-older-adults
#16
Anne Mounsey, Meghan Raleigh, Anthony Wilson
Chronic constipation is common in adults older than 60 years, and symptoms occur in up to 50% of nursing home residents. Primary constipation is also referred to as functional constipation. Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues. Fecal impaction should be treated with mineral oil or warm water enemas. Most patients are initially treated with lifestyle modifications, such as scheduled toileting after meals, increased fluid intake, and increased dietary fiber intake...
September 15, 2015: American Family Physician
https://www.readbyqxmd.com/read/26123541/prevalence-of-urinary-incontinence-in-older-turkish-women-risk-factors-and-effect-on-activities-of-daily-living
#17
Mağfiret Kaşıkçı, Dilek Kılıç, Gülçin Avşar, Meltem Şirin
PURPOSE: The study was conducted to determine the prevalence of urinary incontinence (UI) among older women, risk factors, and the effect on activities of daily living (ADLs). METHOD: The study was conducted in family health centers located in a city in eastern Turkey. The study population consisted of 1094 women age 65 and older chosen with a simple random sampling method. The inclusion criteria were 65 years and older, female, and not diagnosed with mental or emotional diseases or conditions that obstruct communication...
September 2015: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/25942507/%C3%AF-limitations-of-daily-living-activities-in-patients-with-venous-stasis-ulcers-undergoing-compression-bandaging-problems-with-the-concept-of-self-bandaging
#18
Caroline Fife, David Walker, Brett Thomson, Marissa Carter
Venous stasis ulcers (VSUs) represent both an enormous cost to the healthcare system and significant quality-of-life issue to patients. While certain high-technology products have shown promise, compression bandaging continues to be the gold standard of care. Recently, some regional Medicare carriers suggested that patients with VSUs should be able to perform self-bandaging in an effort to avoid reimbursing caregivers to provide this service. Using a database of 7251 patients from 29 wound care facilities maintained as part of an agreement under the Intellicure Research Consortium for users of Intellicure Inc's (The Woodlands, Tex) wound care software; activity of daily living (ADL) data was extracted for all patients with a VSU in whom this was collected (547 patients) to examine such an impact...
October 2007: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/25868483/laparoscopic-primary-repair-and-isoperistaltic-endoluminal-drain-for-boerhaave-s-syndrome
#19
Francesco Prete, Angela Pezzolla, Paolo Nitti, Fernando Prete
Spontaneous oesophageal rupture, also known as Boerhaave syndrome (BS), is a rare and potentially lethal pathological condition. BS recognition is difficult, while rapidity of diagnosis, along with extension of the lesion, affects type and outcome of treatment. BS was classically treated by thoracotomy, but laparoscopic (LS), thoracoscopic (TS) surgery, and nonsurgical procedures as endoscopic stent positioning or use of glues have been described. Still, there is no model treatment, and selection of the most appropriate therapeutic procedure is complex in the absence of standardised criteria...
May 2015: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/25751803/clinical-outcome-and-efficacy-of-antegrade-colonic-enemas-administered-via-an-indwelling-cecostomy-catheter-in-adults-with-defecatory-disorders
#20
Vicki Patton, David Z Lubowski
BACKGROUND: Antegrade colonic enemas are used in selected adult patients with defecatory disorders. Conduit stenosis requiring revisional surgery is common. OBJECTIVE: The aim of the study was to determine whether stenosis could be avoided by using an indwelling antegrade continence enema catheter in an appendiceal or cecal conduit, and to describe medium-term clinical outcomes. DESIGN: This study was a retrospective case series. SETTING: The study was conducted at a tertiary referral hospital in Sydney, Australia...
April 2015: Diseases of the Colon and Rectum
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