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https://www.readbyqxmd.com/read/27904206/reticulate-pigmentation-associated-with-scarring-alopecia-in-an-elderly-woman-an-unusual-manifestation-of-lichen-planus-pigmentosus
#1
Vinod Kumar Sharma, Neetu Bhari, Sweta Subhadarshani, Neha Taneja, Rakesh Kumar Deepak
A 70-year-old woman presented with generalized reticulate pigmentation, scarring alopecia, and few discrete, violaceous plaques over the trunk and forearm. Dermoscopic evaluation of the reticulate plaque showed reticulate hyperpigmentation with multiple telangiectasias, and skin biopsy showed lichenoid interface dermatitis with marked pigment incontinence. Thus, a final diagnosis of poikiloderma due to lichen planus pigmentosus was considered.
November 2016: Indian Journal of Dermatology
https://www.readbyqxmd.com/read/27903340/-the-clinical-application-of-lumbar-plexus-the-first-posterior-sacral-foramina-block-for-hip-arthroplasty-in-elderly-patients
#2
J Li, X J Ke, Y Liu, K Chen, M B Chen, W Mei
Objective: To evaluate the clinical efficacy of lumbar plexus-the first posterior sacral foramina block as an anesthesia technique for hip arthroplasty in elderly patients. Methods: Forty-four patients, aged 60-91 years, weighing 37-100 kg, American Society of Anesthesiologists (ASA) Ⅰ-Ⅲ, underwent elective hip arthroplasty in Tongji Hospital from February 2015 to January 2016.All patients received lumbar plexus and the first posterior sacral foramina block.The first posterior sacral foramina puncture point of 23 cases were located by traditional positioning method, the others were orientated via ultrasonic method...
November 22, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27891403/efficacy-of-transcutaneous-electrical-nerve-stimulation-in-the-treatment-of-overactive-bladder
#3
Nidhi Sharma, Kaja Rekha, Krishnamurthy Jayashree Srinivasan
INTRODUCTION: Overactive Bladder (OAB) accounts for 40-70% cases of incontinence. The etiology is unknown though detrusor instability is found in urodynamic evaluation of almost all cases. Detrusor instability or hyperreflexia can be inhibited by direct inhibition of impulses in the pre-ganglionic afferent neuron or by inhibition of bladder pre-ganglionic neurons of the efferent limb of micturition reflex. Transcutaneous Electrical Nerve Stimulation (TENS) is based on the gate control theory of abolishing the local micturition reflex arc...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27837461/ventral-mesh-rectopexy-versus-conventional-suture-technique-a-single-institutional-experience
#4
Gaetano Luglio, Rachele Tarquini, Mariano Cesare Giglio, Viviana Sollazzo, Roberto Peltrini, Michele Sacco, Giovanni Spiezio, Bruno Amato, Giovanni Domenico De Palma, Luigi Bucci
AIMS: Anterior mesh rectopexy is a novel surgical technique for the treatment of complete rectal prolapse, a common disorder in female elderly patients. Aim of the study was to evaluate functional outcomes after ventral mesh rectopexy and conventional suture rectopexy. PATIENTS AND METHODS: Forty patients have been enrolled in this prospective study. Patients were divided into two groups: 20 patients (group A) had a conventional suture rectopexy with a standard technique and 20 patients (group B) underwent an anterior mesh rectopexy...
November 11, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27809583/management-of-faecal-incontinence-in-the-elderly-current-policy-and-practice
#5
Warren Gillibrand
No abstract text is available yet for this article.
November 2, 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27751465/re-effect-of-pharmacological-treatment-for-urinary-incontinence-in-the-elderly-and-frail-elderly-a-systematic-review
#6
Alan J Wein
No abstract text is available yet for this article.
November 2016: Journal of Urology
https://www.readbyqxmd.com/read/27749211/depressive-symptoms-and-associated-factors-in-institutionalized-elderly
#7
Javier Jerez-Roig, Nayara Priscila Dantas de Oliveira, Bartolomeu Fagundes de Lima Filho, Maria Amanda de Farias Bezerra, Monayane Grazielly Leite Matias, Lidiane Macedo Ferreira, Fabienne Louise Juvêncio Dos Santos Amaral, Dyego Leandro Bezerra Souza, Kenio Costa Lima
: Background/Study Context: Depression is a common psychiatric disorder in the elderly that leads to a decrease in quality of life and functional impairment, among other health problems. The study of depressive symptoms in institutionalized elderly is scarce in Latin America and can contribute to plan prevention and treatment actions in order to improve health conditions for the residents as well as quality of life. Therefore, the aim of this study is to determine the prevalence of depressive symptoms and identify its associated factors in institutionalized elderly...
October 2016: Experimental Aging Research
https://www.readbyqxmd.com/read/27676712/efficacy-and-safety-of-a-first-intradetrusorial-injection-of-botulinum-toxin-a-for-the-treatment-of-refractory-overactive-bladder-in-54-elderly-patients
#8
Laura Weglinski, Rebecca Haddad, Benoit Peyronnet, Xavier Game, Calin Ciofu, Gerard Amarenco
OBJECTIVE: Intradetrusorial injection of botulinum toxin A (IDBT) is a validated treatment for neurogenic and non-neurogenic refractory overactive bladder. In the elderly, muscarinic antagonists have many side effects, in particular in cognition. An alternative treatment is, for that reason, interesting in this frail population with multiple medication use. The question of efficacy is remaining. Indeed, bladder dysfunction is most of the time a multifactorial issue in the elderly. The objective of this study was to evaluate prospectively the efficacy and safety of IDBT in this population...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27629119/are-suburethral-slings-less-successful-in-the-elderly
#9
Alexandriah Alas, Orawee Chinthakanan, Luis Espaillat, Leon Plowright, Vivian Aguilar, G Willy Davila
INTRODUCTION AND HYPOTHESIS: We aimed to evaluate the success of suburethral slings in women ≥70 years of age. METHODS: This was a retrospective cohort study of women who underwent suburethral sling placement. Subjects were separated into three groups: ≤50 years of age (group 1), 51 to 69 years of age (group 2), and ≥70 years of age (group 3). The primary aim was to evaluate success as defined by ≥ improved on a validated patient improvement satisfaction score and a negative postoperative standardized stress test...
September 15, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27609058/two-parallel-pragmatic-uk-multicentre-randomised-controlled-trials-comparing-surgical-options-for-upper-compartment-vault-or-uterine-pelvic-organ-prolapse-the-vue-study-study-protocol-for-a-randomised-controlled-trial
#10
Cathryn Glazener, Lynda Constable, Christine Hemming, Suzanne Breeman, Andrew Elders, Kevin Cooper, Robert Freeman, Anthony R B Smith, Suzanne Hagen, Alison McDonald, Gladys McPherson, Isobel Montgomery, Mary Kilonzo, Dwayne Boyers, Beatriz Goulao, John Norrie
BACKGROUND: One in three women who have a prolapse operation will go on to have another operation, though not necessarily in the same compartment. Surgery can result in greater impairment of quality of life than the original prolapse itself (such as the development of new-onset urinary incontinence, or prolapse at a different site). Anterior and posterior prolapse surgery is most common (90 % of operations), but around 43 % of women also have a uterine (34 %) or vault (9 %) procedure at the same time...
September 8, 2016: Trials
https://www.readbyqxmd.com/read/27581314/timing-of-surgical-treatment-for-idiopathic-normal-pressure-hydrocephalus-association-between-treatment-delay-and-reduced-short-term-benefit
#11
Sharif Vakili, Dane Moran, Alice Hung, Benjamin D Elder, Lee Jeon, Hugo Fialho, Eric W Sankey, Ignacio Jusué-Torres, C Rory Goodwin, Jennifer Lu, Jamie Robison, Daniele Rigamonti
OBJECTIVE A growing body of evidence suggests that longer durations of preoperative symptoms may correlate with worse postoperative outcomes following cerebrospinal fluid (CSF) diversion for treatment of idiopathic normal pressure hydrocephalus (iNPH). The aim of this study is to determine whether the duration of preoperative symptoms alters postoperative outcomes in patients treated for iNPH. METHODS The authors conducted a retrospective review of 393 cases of iNPH involving patients treated with ventriculoperitoneal (VP) shunting...
September 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27554370/pharmacological-treatment-of-post-prostatectomy-incontinence-what-is-the-evidence
#12
Anja Løvvik, Stig Müller, Hitendra R H Patel
Urinary incontinence is a common and debilitating problem, and post-prostatectomy incontinence (PPI) is becoming an increasing problem, with a higher risk among elderly men. Current treatment options for PPI include pelvic floor muscle exercises and surgery. Conservative treatment has disputable effects, and surgical treatment is expensive, is not always effective, and may have complications. This article describes the prevalence and causes of PPI and the current treatment methods. We conducted a search of the PUBMED database and reviewed the current literature on novel medical treatments of PPI, with special focus on the aging man...
August 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27552331/gastrointestinal-dysmotility-in-the-elderly
#13
Neelam G Gidwaney, Manisha Bajpai, Sita S Chokhavatia
The number of persons 60 years and older has increased 3-fold between 1950 and 2000. Aging alone does not greatly impact the gastrointestinal (GI) tract. Digestive dysfunction, including esophageal reflux, achalasia, dysphagia, dyspepsia, delayed gastric emptying, constipation, fecal incontinence, and fecal impaction, is a result of the highly prevalent comorbid conditions and the medications with which those conditions are treated. A multidisciplinary approach with the expertise of a geriatrician, gastroenterologist, neurologist, speech pathologist, and physical therapist ensures a comprehensive functional and neurological assessment of the older patient...
November 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27523177/-rare-injury-of-perineum-and-anorectum-case-report
#14
M Lerch, M Peteja, A Zatloukal, P Ostruzska, P Ihnát, J Polovko, A Pelikán, P Zonča
UNLABELLED: Anorectal injuries, with the exception of iatrogenic damage, are rare. Considering the extensive range of causes and potential extent of damage, the diagnosis and treatment of these injuries requires an individual approach to every patient. Based on the extent of damage, the best way of treatment strategy has to be selected for successful treatment of the primary injury and elimination of frequent complications, especially fecal incontinence. The authors present a rare injury of the perineum and anorectum with anorectal sphincter damage in an elderly man after falling down from a stepladder...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/27432378/the-impact-of-central-obesity-on-storage-luts-and-urinary-incontinence-after-prostatic-surgery
#15
REVIEW
Mauro Gacci, Arcangelo Sebastianelli, Matteo Salvi, Cosimo De Nunzio, Andrea Tubaro, Stavros Gravas, Ignacio Moncada, Sergio Serni, Mario Maggi, Linda Vignozzi
In the developed and developing countries, the overall prevalence of central obesity in the elderly men is growing. In addition, the progressive aging of male population increased the possibilities of coexisting morbidities associated with obesity such as lower urinary tract symptoms (LUTS) due to benign prostatic enlargement (BPE) or to prostate cancer (PCa) needing primary treatment, including radical prostatectomy (RP), which can further adversely affect the quality of life. Simple and radical prostatectomy are the most common surgical procedures in urologic unit all over the world for BPE and PCa, respectively...
September 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27408250/urodynamic-changes-in-pelvic-organ-prolapse-and-the-role-of-surgery
#16
R Panicker, S Srinivas
BACKGROUND: Pelvic organ prolapse (POP) is a major health problem of the "elderly" lady. The urological changes associated with POP and the beneficial effects of surgery on these changes continues to be controversial. We studied the urodynamic changes in POP and the effect of definitive surgery on these changes. METHODS: A total of 50 cases of POP, over a two year period, were subjected to urodynamic studies both pre and postoperatively and the data analyzed, to ascertain the effect of surgery on the urological profile of a patient with POP...
July 2009: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27381307/-70-plus-a-challenge-for-the-family-doctor-and-the-gastroenterologist
#17
REVIEW
Adrian Schmassmann
In elderly patients, dysphagia, fecal incontinence, gastrointestinal malignant diseases and bleeding as well as ischemia of the small and large bowel are increased compared to younger patients. These diseases often significantly decrease the quality of life and survival, however, they can often be treated quite successfully if the diagnosis is made early enough. History and clinical presentation in the elderly are often unspecific, thus further investigations – especially in the emergency situation – such as laboratory examinations, abdominal ultrasound, computer tomography and endoscopy are often necessary...
July 6, 2016: Praxis
https://www.readbyqxmd.com/read/27377946/association-of-functional-ability-and-benign-prostatic-hyperplasia-with-urinary-incontinence-in-older-korean-men
#18
Jeongok Park, Gwi-Ryung Son Hong
PURPOSE: The purpose of this study was to determine the prevalence of urinary incontinence (UI) and analyze its association with instrumental activities of daily living (IADL) and benign prostatic hyperplasia (BPH) in community-dwelling older men in Korea. METHODS: This study was a secondary analysis of data from the Actual Living Condition of the Elderly and Welfare Need Survey conducted in the year 2008. Data was subjected to hierarchical logistic regression analysis to examine the association of IADL and BPH with UI in older men, entering IADL and BPH in model 1, and age, body mass index (BMI) and education in model 2, and then comorbidities and walking speed in model 3...
June 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/27304649/prevalence-of-common-comorbidities-among-urogynaecological-patients
#19
Tomasz Rechberger, Łukasz Nowakowski, Ewa Rechberger, Alicja Ziętek, Izabela Winkler, Paweł Miotła
OBJECTIVES: Due to prolonged life expectancy, regardless of the fact that elderly women are more likely to suffer from comorbidities, urogynaecologists worldwide should expect a growing demand for counseling and effective treatment for patients with pelvic floor defects. The aim of the study was to investigate the incidence of popular comorbidities among urogynaecological patients. MATERIAL AND METHODS: The retrospective analysis included clinical data of 4,065 consecutive female patients who under-went surgical treatment in the 2nd Department of Gynaecology at the Medical University of Lublin due to urogynaecological disorders between January 2005 and December 2014...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27250220/factors-related-to-the-urination-methods-of-elderly-people-with-incontinence-who-require-at-home-nursing-care
#20
Kumiko Tanaka, Keiko Takeda, Keiko Suyama, Akiko Kooka, Satsuki Nakamura
OBJECTIVE: This study aimed to elucidate the urination status among elderly people with incontinence who require at-home nursing care as well as the status of their family caregivers, and to identify the factors related to their urination methods. METHODS: In the present study, questionnaires were distributed to 101 elderly subjects (n=101) and their caregivers. RESULTS: The most prevalent urination method was the collaboration of toilet and adult diapers (69, 68...
2016: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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