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Toilet avoidence

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https://www.readbyqxmd.com/read/29429768/are-senna-based-laxatives-safe-when-used-as-long-term-treatment-for-constipation-in-children
#1
Alejandra Vilanova-Sanchez, Alessandra C Gasior, Nicole Toocheck, Laura Weaver, Richard J Wood, Carlos A Reck, Andrea Wagner, Erin Hoover, Renae Gagnon, Jordon Jaggers, Tassiana Maloof, Onnalisa Nash, Charae Williams, Marc A Levitt
BACKGROUND AND AIM: Senna is a stimulant laxative commonly used by pediatricians, pediatric gastroenterologists, and pediatric surgeons. Many clinicians avoid Senna for reasons such as tolerance or side effects but this has little scientific justification. We recently found several patients we were caring for developed perineal blistering during the course of Senna treatment. Because of this we chose to review the literature to identify side effects in children taking this medication as well as to analyze our Center's experience with Senna's secondary effects...
April 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29228510/left-behind-and-left-out-the-impact-of-the-school-environment-on-young-people-with-continence-problems
#2
Katie Whale, Helen Cramer, Carol Joinson
OBJECTIVES: To explore the impact of the secondary school environment on young people with continence problems. DESIGN: In-depth qualitative semi-structured interviews. METHODS: We interviewed 20 young people aged 11-19 years (11 female and nine male) with continence problems (daytime wetting, bedwetting, and/or soiling). Interviews were conducted by Skype (n = 11) and telephone (n = 9). Transcripts were analysed using inductive thematic analysis...
December 11, 2017: British Journal of Health Psychology
https://www.readbyqxmd.com/read/29224700/preventing-weakness-and-stiffness-a-top-priority-for-health-and-social-care
#3
REVIEW
Muir Gray, Kenny Butler
With growing evidence that sarcopenia, disability and frailty can be prevented with physical activity, people living with pain, stiffness and weakness due to a musculoskeletal condition should be offered physical activity as a preventive strategy. By changing beliefs and attitudes towards ageing and raising the value and importance of physical activity, disability can be avoided or delayed and the costly burden of social care lessened. The effects of ageing and the effects of muscle strength loss are often confused...
April 2017: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29181746/severe-dehiscence-of-gastrojejunal-anastomosis-after-gastric-bypass-its-cure-by-using-partially-covered-stent-and-avoiding-migration
#4
Helga C A W Alhinho, Flávio C Ferreira, Rodrigo C L Medeiros, Álvaro A B Ferraz, Josemberg M Campos
BACKGROUND: Gastric leak is a severe complication of gastric bypass that is associated with significant morbidity and mortality. Anastomosis dehiscence usually occurs at gastrojejunal anastomosis and can appear simultaneously with gastric leak, for which treatment can be a challenge. Fistula may have several clinical impacts, depending on patient-related factors, fistula characteristics, onset time, and therapy proposal. Abdominal toilet, drainage, gastrostomy, and revisional surgery constitute the traditional approaches to dehiscence and fistula closure, with variable results...
February 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29175294/parachuting-psychoactive-substances-pharmacokinetic-clues-for-harm-reduction
#5
Amélie Daveluy, Hélène Géniaux, Marie Baumevieille, Louis Létinier, Marie-Noëlle Matta, Aurélie Lazès-Charmetant, Françoise Haramburu, Pascale Guéroult
BACKGROUND: Parachuting, also called bombing, is a way to ingest psychoactive substances wrapped into cigarette paper, toilet paper, etc. There is little data describing parachuting in terms of substances use, context of use and, most importantly, the motivations for using such wrappers, although some authors hypothesized that parachute could be used for pharmacokinetic reason. However, inconsistently, some authors report that parachutes are used for sustained-release whereas others report that users are looking for an immediate effect...
March 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29155236/evaluation-of-sampling-and-storage-procedures-on-preserving-the-community-structure-of-stool-microbiota-a-simple-at-home-toilet-paper-collection-method
#6
Kait F Al, Jordan E Bisanz, Gregory B Gloor, Gregor Reid, Jeremy P Burton
BACKGROUND: The increasing interest on the impact of the gut microbiota on health and disease has resulted in multiple human microbiome-related studies emerging. However, multiple sampling methods are being used, making cross-comparison of results difficult. To avoid additional clinic visits and increase patient recruitment to these studies, there is the potential to utilize at-home stool sampling. The aim of this pilot study was to compare simple self-sampling collection and storage methods...
January 2018: Journal of Microbiological Methods
https://www.readbyqxmd.com/read/28934944/knowledge-attitude-and-practices-on-intestinal-schistosomiasis-among-primary-schoolchildren-in-the-lake-victoria-basin-rorya-district-north-western-tanzania
#7
David Z Munisi, Joram Buza, Emmanuel A Mpolya, Teckla Angelo, Safari M Kinung'hi
BACKGROUND: Globally school-age children, adolescents and young adults bear the highest burden of schistosomiasis. When developing a specific intervention to improve community's knowledge, attitudes, and practices (KAPs), existing KAPs must be taken into account. Therefore, this study was designed to determine schoolchildren's KAPs on schistosomiasis in the study area. METHODS: A cross-sectional study was conducted in Busanga and Kibuyi villages involving 513 schoolchildren...
September 21, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28871278/community-mobilization-for-slum-upgrading-through-sanitation-in-roma-informal-settlements-in-the-paris-region
#8
Ipsita Nita Chaudhuri
BACKGROUND: Community-based processes addressing environment, housing, and health issues may decrease health inequities by addressing social, economic, and political health determinants more effectively. Yet little analysis of their effectiveness has been undertaken and their potential transfer to marginalized groups in rich country settings. In Europe, stark health inequalities are seen among the Roma, Europe's most impoverished community who often reside in informal settlements suffering from illiteracy, inadequate housing, and lack of water and sanitation...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28836236/urinary-incontinence-in-home-care-a-representative-multicenter-study-on-prevalence-severity-impact-on-quality-of-life-and-risk-factors
#9
Ralf Suhr, Nils Axel Lahmann
OBJECTIVES: The objective of the study was to determine the prevalence and severity of urinary incontinence and associated factors in patients receiving home care nursing service. METHODS: From June to September 2015, a multicenter cross-sectional study was conducted in 923 patients from 102 home care services throughout Germany. The ICIQ-SF was used to determine the characteristics of UI and its impact on QoL. To determine the risks for UI, demographic and social risks, the Barthel Index and medical diagnoses were determined in descriptive and logistic regression analysis...
August 23, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28748747/association-between-metabolic-syndrome-and-overactive-bladder-a-case-control-study
#10
Zana Saratlija Novakovic, Roberta Andrea Tesija, Livia Puljak
OBJECTIVE: The aim of this case-control study was to investigate the association between overactive bladder (OAB) and metabolic syndrome (MetS). The primary hypothesis was that OAB is significantly more prevalent among patients with MetS than in control participants. MATERIALS AND METHODS: A case-control study was conducted among 114 patients, with 57 patients in the MetS group and 57 in the control group. Study participants were recruited in a family medicine practice...
December 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28489921/time-trend-of-neurocysticercosis-in-children-with-seizures-in-a-tertiary-hospital-of-western-nepal
#11
Kalipatnam Seshagiri Rao, Sudhir Adhikari, Eva Gauchan, Brijesh Sathian, Ganesh B K, Sahisnuta Basnet, Prabhat Kumar Tiwari, Namraj Bahadur, Rajnish Mishra
INTRODUCTION: Neurocysticercosis is a common cause of seizure disorders in children of Western Nepal. The clinical presentation is variable. The incidence varies depending on the food habits and ethnicity of the population. The present study was undertaken with the objective of studying the mode of presentation, radiological findings and to determine the recent trend of the disease in children of Western Nepal. METHODS: Records from the Department of Pediatrics, Manipal Teaching Hospital, Pokhara, Nepal of children aged 0-17 years admitted from 2003 to 2015 and with the discharge diagnosis of seizure and neurocysticercosis (NCC) were reviewed...
May 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28382484/toileting-behavior-and-urinary-tract-symptoms-among-younger-women
#12
Johanna Sjögren, Lars Malmberg, Karin Stenzelius
INTRODUCTION AND HYPOTHESIS: Irregular or infrequent voiding due to avoiding school toilets can contribute to a number of urinary problems among school children. There is, however, a lack of studies on younger women. The aim of this study was to investigate toileting behavior and the correlation to lower urinary tract symptoms (LUTS) among young women (age 18-25 years). A further aim was to validate the Swedish version of the Toileting Behavior scale (TB scale). METHODS: Quantitative descriptive design was used with two questionnaires: the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and the TB scale, together with six background questions...
November 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28215808/urea-stabilisation-and-concentration-for-urine-diverting-dry-toilets-urine-dehydration-in-ash
#13
Jenna Senecal, Björn Vinnerås
Human excreta contain the same nitrogen, phosphorus and potassium (N-P-K) as the fertilisers used to produce the food consumed. However, human excreta are considered unwanted waste throughout the world, creating humanitarian and environmental problems. In order to replace the nutrients removed from fields during crop harvesting, more fertilisers are manufactured, in processes contributing to environmental changes at global level. The limitation of human urine as a fertiliser is its low nutrient concentration compared with commercial fertilisers...
May 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28157790/physical-design-factors-contributing-to-patient-falls
#14
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
#15
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-radioembolization-from-interventional-radiology-suite-to-patient-ward
#16
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 the patient after liver-directed radioembolization using 90 Y glass microspheres, to quantitatively estimate the occupational dose of medical personnel providing patient care to the patient radioembolized with the use of the method and to discuss radiation exposure to patients who are adjacent if the patient radioembolized needs hospitalization. METHODS: A lead-lined blanket of lead equivalence of 0...
March 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/27978580/toilet-phobia-and-toilet-refusal-in-children
#17
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
#18
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
#19
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...
February 2017: Urology
https://www.readbyqxmd.com/read/27747686/red-brown-urine-discolouration-in-two-patients-taking-mesalamine
#20
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
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