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Fecal and urine incontinency

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https://www.readbyqxmd.com/read/29140894/incontinence-associated-dermatitis-and-immobility-as-pressure-injury-risk-factors-a-multisite-epidemiologic-analysis
#1
Mikel Gray, Karen K Giuliano
PURPOSE: The purpose of this study was to measure the prevalence of incontinence-associated dermatitis (IAD) among incontinent persons in the acute care setting, characteristics of IAD in this group, and associations among IAD, urinary, fecal, and dual incontinence, immobility, and pressure injury in the sacral area. DESIGN: Descriptive and correlational analysis of data from a large database of IAD, and pressure injuries of sacral area and heels. SUBJECTS AND SETTING: The sample comprised 5342 adult patients in acute care facilities in 36 states representing all regions of the United States...
November 14, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28877114/incontinence-briefs-containing-spiral-shaped-fiber-acidify-skin-ph-of-older-nursing-home-residents-at-risk-for-incontinence-associated-dermatitis
#2
Donna Z Bliss, Peggy Bland, Kjerstie Wiltzen, Alexandra Gannon, Anna Wilhems, Michelle A Mathiason, Robert Turnbaugh
PURPOSE: The study's purpose was to assess the pH of the skin of older (aged ≥75 years) incontinent nursing home residents after exposure to an incontinence brief containing spiral-shaped fiber wet with an alkaline solution mimicking urine or fecal pH and compared to skin pH after exposure to an industry standard brief wet with the same solution and various controls. DESIGN: The design was experimental, as conditions were applied to skin and skin pH was measured in random order, and subjects served as their own controls...
September 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28858968/what-wait-time-in-a-soiled-pad-is-acceptable-to-older-patients-and-their-direct-caregivers
#3
Judith Fernando, Adrian Wagg
PURPOSE: We sought to establish views on wait times and hypothesized that they may vary depending upon perspective, circumstance, and incontinence type. DESIGN: Cross-sectional, descriptive survey. SUBJECTS AND SETTING: Eligible patients were inpatients, 65 years and older, in a single tertiary acute care hospital. Eligible staff were regulated (licensed) and unregulated providers of direct care to patients. Patients may or may not have used absorbent continence products prior to their admission...
November 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28706405/vulvar-lichen-sclerosus-et-atrophicus
#4
REVIEW
Pragya Ashok Nair
Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis characterized by ivory-white plaques or patches with glistening surface commonly affecting the vulva and anus. Common symptoms are irritation, soreness, dyspareunia, dysuria, and urinary or fecal incontinence. Anogenital lichen sclerosus (LS) is characterized by porcelain-white atrophic plaques, which may become confluent extending around the vulval and perianal skin in a figure of eight configuration. Thinning and shrinkage of the genital area make coitus, urination, and defecation painful...
April 2017: Journal of Mid-life Health
https://www.readbyqxmd.com/read/28688109/root-causes-and-social-consequences-of-birth-injuries-in-western-uganda
#5
Jennifer N Angell, Priscilla Busingye, Gabriel Y-K Ganyaglo, Cheryl A Moyer
No abstract text is available yet for this article.
July 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28585105/physical-complementary-and-alternative-medicine-in-the-treatment-of-pelvic-floor-disorders
#6
REVIEW
Alex Arnouk, Elise De, Alexandra Rehfuss, Carin Cappadocia, Samantha Dickson, Fei Lian
PURPOSE OF REVIEW: The purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders. RECENT FINDINGS: Pelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders...
June 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28396018/urinary-incontinence-and-other-pelvic-floor-disorders-after-radiation-therapy-in-endometrial-cancer-survivors
#7
Saya Segal, Gabriella John, Mary Sammel, Uduak Umoh Andy, Christina Chu, Lily A Arya, Justin Brown, Kathryn Schmitz
OBJECTIVE: To investigate radiation therapy as a risk factor for urinary or fecal incontinence, pelvic organ prolapse, and sexual dysfunction in endometrial cancer survivors. STUDY DESIGN: We performed a retrospective cohort study of endometrial cancer survivors. Data were collected using a mailed survey and the medical record. Validated questionnaires were used to generate rates of urinary incontinence and other pelvic floor disorders. The incidence rates of pelvic floor disorders were compared across groups with different exposures to radiation...
March 18, 2017: Maturitas
https://www.readbyqxmd.com/read/28265323/bladder-and-bowel-dysfunction-in-children-an-update-on-the-diagnosis-and-treatment-of-a-common-but-underdiagnosed-pediatric-problem
#8
REVIEW
Joana Dos Santos, Roberto I Lopes, Martin A Koyle
Bladder and bowel dysfunction (BBD) describes a spectrum of lower urinary symptoms (LUTS) accompanied by fecal elimination issues that manifest primarily by constipation and/or encopresis. This increasingly common entity is a potential cause of significant physical and psychosocial burden for children and families. BBD is commonly associated with vesicoureteral reflux (VUR) and recurrent urinary tract infections (UTIs), which at its extreme may lead to renal scarring and kidney failure. Additionally, BBD is frequently seen in children diagnosed with behavioural and neuropsychiatric disorders such as attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD)...
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28040503/are-interferential-electrical-stimulation-and-diaphragmatic-breathing-exercises-beneficial-in-children-with-bladder-and-bowel-dysfunction
#9
Vesna D Zivkovic, Ivona Stankovic, Lidija Dimitrijevic, Mirjana Kocic, Hristina Colovic, Marina Vlajkovic, Andjelka Slavkovic, Milica Lazovic
OBJECTIVE: To evaluate the effects of interferential current (IC) stimulation and diaphragmatic breathing exercises (DBEs) in children with bladder and bowel dysfunction. PATIENTS AND METHODS: Seventy-nine children with dysfunctional voiding and chronic constipation who were failures of primary care interventions were included in the prospective clinical study. All the children were checked for their medical history regarding lower urinary tract symptoms and bowel habits...
April 2017: Urology
https://www.readbyqxmd.com/read/27875188/pelvis-atlas-based-surgical-planning-for-oncological-pelvic-surgery
#10
Noeska Smit, Kai Lawonn, Annelot Kraima, Marco DeRuiter, Hessam Sokooti, Stefan Bruckner, Elmar Eisemann, Anna Vilanova
Due to the intricate relationship between the pelvic organs and vital structures, such as vessels and nerves, pelvic anatomy is often considered to be complex to comprehend. In oncological pelvic surgery, a trade-off has to be made between complete tumor resection and preserving function by preventing damage to the nerves. Damage to the autonomic nerves causes undesirable post-operative side-effects such as fecal and urinal incontinence, as well as sexual dysfunction in up to 80 percent of the cases. Since these autonomic nerves are not visible in pre-operative MRI scans or during surgery, avoiding nerve damage during such a surgical procedure becomes challenging...
January 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/27843346/the-danish-prostate-cancer-database
#11
REVIEW
Mary Nguyen-Nielsen, Søren Høyer, Søren Friis, Steinbjørn Hansen, Klaus Brasso, Erik Breth Jakobsen, Mette Moe, Heidi Larsson, Mette Søgaard, Anne Nakano, Michael Borre
AIM OF DATABASE: The Danish Prostate Cancer Database (DAPROCAdata) is a nationwide clinical cancer database that has prospectively collected data on patients with incident prostate cancer in Denmark since February 2010. The overall aim of the DAPROCAdata is to improve the quality of prostate cancer care in Denmark by systematically collecting key clinical variables for the purposes of health care monitoring, quality improvement, and research. STUDY POPULATION: All Danish patients with histologically verified prostate cancer are included in the DAPROCAdata...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27701779/urinary-incontinence-in-the-netherlands-prevalence-and-associated-risk-factors-in-adults
#12
J Marleen Linde, Rien J M Nijman, Monika Trzpis, Paul M A Broens
AIMS: To determine the prevalence and risk factors associated with urinary incontinence (UI) among adults in the Netherlands. METHODS: In this cross-sectional study, we included 1257 respondents aged ≥ 18 years, who completed the validated Groningen Defecation and Fecal Continence Checklist. UI was defined as any involuntary leakage of urine during the past 6 months. RESULTS: The prevalence of UI in the total group was 36.8%. Women experienced UI significantly more often than men (49...
August 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27465702/validation-of-an-obstetric-fistula-screening-questionnaire-in-rural-nepal-a-community-based-cross-sectional-and-nested-case-control-study-with-clinical-examination
#13
Ccg Chen, D Barry, S K Khatry, E M Klasen, M Singh, S C LeClerq, J Katz, J M Tielsch, L C Mullany
OBJECTIVE: To validate a symptom-based fistula screening questionnaire and estimate obstetric fistula (OF) prevalence in rural Nepal. DESIGN: Cross-sectional and nested case-control study. SETTING: Sarlahi District, Nepal. POPULATION: Parous, reproductive age women. METHODS: The questionnaire assessed symptoms of vesicovaginal and rectovaginal fistula (VVF and RVF, respectively), stress and urge urinary incontinence (SUI and UUI, respectively), fecal incontinence (FI), and included interviewer observations on the smell and presence of urine and/or stool...
May 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27357400/critical-analysis-of-fecal-incontinence-scores
#14
REVIEW
Andrea Bischoff, J Bealer, A Peña
INTRODUCTION: Objectively evaluating the lack of bowel control (fecal incontinence) continues to be a challenge. Many have attempted to measure the severity of fecal incontinence and to evaluate its impact on the quality of life by developing standardized scoring systems. Some of these systems have been validated but none have achieved widespread use and all have limitations in evaluating pediatric patients. METHODS: A review of the literature was performed looking for validated scoring systems of fecal incontinence that are currently used for either adult or pediatric patients...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27239185/cauda-equina-syndrome-secondary-to-leptomeningeal-carcinomatosis-of-gastroesophageal-junction-cancer
#15
Amal Alkhotani, Nouf Alrishi, M Salem Alhalabi, Tahira Hamid
Leptomeningeal carcinomatosis (LMC) is a diffuse or multifocal malignant infiltration of the pia matter and arachnoid membrane. The most commonly reported cancers associated with LMC are breast, lung, and hematological malignancies. Patients with LMC commonly present with multifocal neurological symptoms. We report a case of LMC secondary to gastroesopha-geal junction cancer present initially with cauda equina syndrome. A 51-year-old male patient with treated adenocarcinoma of the gastroesophageal junction presented with left leg pain, mild weakness, and saddle area numbness...
January 2016: Case Reports in Neurology
https://www.readbyqxmd.com/read/26179838/utilizing-cerebral-perfusion-scan-and-diffusion-tensor-mr-imaging-to-evaluate-the-effect-of-hyperbaric-oxygen-therapy-in-carbon-monoxide-induced-delayed-neuropsychiatric-seqeulae-a-case-report-and-literature-review
#16
REVIEW
Yi-Te Lin, Shao-Yuan Chen, Chung-Ping Lo, Jiunn-Tay Lee, Chung-Fen Tsai, Ping-Keung Yip, Vinchi Wang, Yu-Ming Fan
PURPOSE: Detection of regional cerebral blood flow (rCBF) and/or brain magnetic resonance imaging (MRI) has been used to investigate functional defect of brain caused by carbon monoxide (CO) poisoning. In this report, we attempted to demonstrate the correlation of changes in brain singlephoton emission computed tomography (SPECT) and diffusion-tensor MR image (DTI) with functional improvement of severe delayed neuropsychiatric sequelae (DNS) after CO intoxication during the treatment of hyperbaric oxygen therapy (HBOT)...
June 2015: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/25840076/evaluation-of-transcutaneous-electrical-posterior-tibial-nerve-stimulation-for-the-treatment-of-fecal-and-urinary-leaks-in-children-preliminary-results
#17
Jean-François Lecompte, Geraldine Hery, Jean-Michel Guys, Claude Louis-Borrione
OBJECTIVE: To examine the effectiveness of posterior tibial nerve stimulation (PTNS) for the treatment of fecal and urinary incontinence in children with malformations of the bowel or neurological pathologies. INTRODUCTION: Treatment of fecal and urinary leaks, in cases of congenital malformations remains a challenge. Recent studies in adults have shown the effectiveness of PTNS. METHOD: Eight children: 4 with anorectal malformations, 3 with neurological causes (1 medullary lipoma, 1 Arnold Chiari malformation, 1 sacrococcygeal teratoma) and 1 with Hirschsprung's disease presenting with serious anal incontinence, despite extensive bowel management during at least 2 years, were treated with PTNS...
April 2015: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25741159/clinical-observations-on-the-treatment-of-prolapsing-hemorrhoids-with-tissue-selecting-therapy
#18
RANDOMIZED CONTROLLED TRIAL
Zhi-Gang Wang, Yong Zhang, Xian-Dong Zeng, Tie-Hui Zhang, Qi-Dong Zhu, De-Long Liu, Yun-Yu Qiao, Nan Mu, Zhi-Tao Yin
AIM: To compare the effects and postoperative complications between tissue selecting therapy stapler (TST) and Milligan-Morgan hemorrhoidectomy (M-M). METHODS: Four hundred and eighty patients with severe prolapsing hemorrhoids, who were admitted to the Shenyang Coloproctology Hospital between 2009 and 2012, were randomly divided into observation (n=240) and control (n=240) groups. Hemorrhoidectomies were performed with TST in the observation group and with the M-M technique in the control group...
February 28, 2015: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25693655/creating-a-gold-standard-surgical-device-scientific-discoveries-leading-to-tvt-and-beyond-ulf-ulmsten-memorial-lecture-2014
#19
Peter Petros
INTRODUCTION AND HYPOTHESIS: The discovery of tension-free vaginal tape (TVT) began in 1986 with two unrelated observations: pressure applied unilaterally at the midurethra controlled urine loss on coughing; implanted Teflon tape caused a collagenous tissue reaction. METHODS AND RESULTS: In 1987, Mersilene tape was implanted retropubically in 13 large dogs, with the aim of creating an artificial collagenous pubourethral neoligament. Extensive testing showed that the operation was safe and effective...
April 2015: International Urogynecology Journal
https://www.readbyqxmd.com/read/25619464/home-electrical-stimulation-for-women-with-fecal-incontinence-a-preliminary-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Nira Cohen-Zubary, Rachel Gingold-Belfer, Inna Lambort, Nir Wasserberg, Haim Krissi, Sigal Levy, Yaron Niv, Ram Dickman
PURPOSE: The purpose of this study is to compare the effectiveness and cost of home electrical stimulation and standardized biofeedback training in females with fecal incontinence METHODS: Thirty-six females suffering from fecal incontinence were randomized into two groups, matched for mean age (67.45 ± 7.2 years), mean body mass index (kg/m2) (26.2 ± 3.9), mean disease duration (4.1 ± 0.8 years), mean number of births (2.7 ± 1.3), and reports of obstetric trauma (25%)...
April 2015: International Journal of Colorectal Disease
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