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Adult incontinence

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https://www.readbyqxmd.com/read/27912904/changes-of-geriatric-syndromes-in-older-adults-survived-from-intensive-care-unit
#1
Hsin-Ju Tang, Hsin-Yi Jean Tang, Fang-Wen Hu, Ching-Huey Chen
Nearly 90% of the older adult patients discharged from hospital with a cluster of geriatric syndromes. The patterns of geriatric syndromes in older adult ICU survivors are to be further explored. The aim of this study was to examine the risk factors and patterns of geriatric syndromes among older adult patients before admitting to ICU and throughout their hospitalization. A total of 137 older adult patients (age 76.9 ± 6.6; 52.6% male) participated in the study. The results showed significant increase in the occurrence of geriatric syndromes from T0 (upon ICU admission) to T1 (transition to inpatient care unit), with improvement at T2 (hospital discharge), but did not return to the baseline...
November 29, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27894765/outcome-in-adults-with-anorectal-malformations-in-relation-to-modern-classification-which-patients-do-we-need-to-follow-beyond-childhood
#2
Johan Danielson, Urban Karlbom, Wilhelm Graf, Tomas Wester
BACKGROUND/PURPOSE: Knowledge about the functional outcome in adults with anorectal malformations is essential to organize structured transition to adult care for this patient group. The aim of this study was to investigate the functional outcome and quality of life in adults with anorectal malformations characterized according to the Krickenbeck classification. METHODS: Of 256 patients diagnosed with anorectal malformations at our institution in 1961-1993, 203 patients could be traced and were invited to participate in the study...
November 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27881287/obesity-with-comorbid-stress-urinary-incontinence-in-women-a-narrative-review-to-inform-dietetics-practice
#3
Barbara Gordon, Barbara Shorter, Kathy Keenan Isoldi, Robert M Moldwin
Stress urinary incontinence (SUI) is a common problem among women; clinical treatment guidelines include weight reduction as a strategy for controlling urinary leakage. The purpose of this review was to gather evidence on the association between obesity and SUI and to ascertain whether there are any special considerations for implementing medical nutrition therapy with community-dwelling, obese, adult females with comorbid SUI. Five key findings emerged: epidemiologic studies consistently report statistically significant associations between obesity and SUI, randomized control trials found that weight loss appears to ameliorate SUI symptoms, the SUI-activity link may affect weight management, there is a potential interplay between SUI and the obesity-sleep connection, and dietary components are associated with the exacerbation of urinary symptoms...
November 20, 2016: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/27834525/protecting-vulnerable-skin-from-moisture-associated-skin-damage
#4
Mark Collier, Debbie Simon
The skin, the body's largest organ, has several functions. Its barrier role can be undermined if it is in contact with urine, faeces and other sources of excess moisture; overhydration can also increase the likelihood of injury from friction through contact with clothing, incontinence pads or bed linen. If skin has been damaged by moisture or is at risk of this, its health can be supported through cleansing to maintain its acid mantle followed by protection with barrier products. Barrier preparations are available in different forms, and their effectiveness varies...
November 10, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27834091/high-prevalence-of-stress-urinary-incontinence-in-adult-patients-with-bronchiectasis
#5
N Duignan, M J McDonnell, M C Mokoka, R M Rutherford
Stress urinary incontinence (SUI) is frequently under-reported in patients with chronic lung disease and may have negative psychosocial consequences. We conducted a prospective study to determine the prevalence, severity and treatment outcomes of SUI in female bronchiectasis patients referred for airway clearance techniques. Nineteen out of 40 (48%) patients reported SUI symptoms. Of these, 14 (74%) reported a reduced quality of life secondary to SUI. Following personalised intervention, symptom improvement was observed in 13/19 (68%)...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27819017/trends-in-inpatient-urological-surgery-practice-patterns
#6
Scott R Hawken, Lindsey A Herrel, Chandy Ellimoottil, Zaojun Ye, J Quentin Clemens, David C Miller
INTRODUCTION: As the nation's population ages and the number of practicing urologists per capita declines, characterization of practice patterns is essential to understand the current state of the urological workforce and anticipate future needs. Accordingly, we examined trends in adult inpatient urological surgery practice patterns over a five-year period. METHODS: We used the Nationwide Inpatient Sample (NIS) data from 2005 through 2009 to identify both surgeons and urological surgeries...
November 2016: Urology Practice
https://www.readbyqxmd.com/read/27816030/surgical-management-of-arrested-hydrocephalus-case-report-literature-review-and-18-month-follow-up
#7
Jennifer Hong, Benjamin G Barrena, S Scott Lollis, David F Bauer
OBJECTIVE: Arrested hydrocephalus is stable ventriculomegaly without evidence of neurologic deterioration or symptoms. Management of arrested hydrocephalus in asymptomatic adults is controversial, with little clinical data. This case highlights the potential for decompensation in adults with arrested hydrocephalus and reviews the literature regarding pathophysiology and management of this clinical entity. PATIENTS AND METHODS: A 39 year-old gentleman with arrested hydrocephalus incidentally found during work-up for new-onset seizure and managed conservatively for ten years presented with increasing headache, memory loss, gait instability and urinary and fecal incontinence...
December 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27815027/teratoma-of-the-spinal-cord-in-an-adult-report-of-a-rare-case-and-review-of-the-literature
#8
Richard F Schmidt, James P Casey, Ashish R Gandhe, Mark T Curtis, Joshua E Heller
Teratomas of the spinal cord are incredibly rare, comprising less than 0.5% of all spinal cord tumors. These tumors are exceptionally rare in adults, with only a handful of cases reported in the literature. We present the case of a 49-year-old gentleman with new onset urinary incontinence who presented with a large intradural tumor of the thoracolumbar spine. The patient underwent a laminectomy with midline durotomy for subtotal tumor resection. Surgical pathology diagnosed the tumor as a mature teratoma, exhibiting the presence of all three germ layers...
November 1, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27814383/adult-gli2-gli3%C3%AE-699-male-and-female-mice-display-a-spectrum-of-genital-malformation
#9
Fei He, Pedram Akbari, Rong Mo, Jennifer J Zhang, Chi-Chung Hui, Peter C Kim, Walid A Farhat
Disorders of sexual development (DSD) encompass a broad spectrum of urogenital malformations and are amongst the most common congenital birth defects. Although key genetic factors such as the hedgehog (Hh) family have been identified, a unifying postnatally viable model displaying the spectrum of male and female urogenital malformations has not yet been reported. Since human cases are diagnosed and treated at various stages postnatally, equivalent mouse models enabling analysis at similar stages are of significant interest...
2016: PloS One
https://www.readbyqxmd.com/read/27795545/a-symptomatic-case-of-thoracic-vertebral-hemangioma-causing-lower-limb-spastic-paresis
#10
Mohammad Alfawareh, Tariq Alotaibi, Abdallah Labeeb, Ziad Audat
BACKGROUND Despite being the most common tumor of the spine, vertebral hemangioma is rarely symptomatic in adults. In fact, only 0.9-1.2% of all vertebral hemangiomas may be symptomatic. When hemangiomas occur in the thoracic vertebrae, they are more likely to be symptomatic due to the narrow vertebral canal dimensions that mandate more aggressive management prior to the onset of severe neurological sequelae. CASE REPORT An 18-year-old male presented to the emergency room with a one-month history of mild to moderate mid-thoracic back pain, radiating to both lower limbs...
October 31, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27794563/clustering-of-geriatric-deficits-emerges-to-be-an-essential-feature-of-ageing-results-of-a-cross-sectional-study-in-poland
#11
Karolina Piotrowicz, Agnieszka Pac, Anna Barbara Skalska, Jerzy Chudek, Alicja Klich-Rączka, Aleksandra Szybalska, Jean-Pierre Michel, Tomasz Grodzicki
The majority of old people suffer from various clinical conditions that affect health, functioning and quality of life. This research is a part of a cross-sectional, nationwide PolSenior Study that provides a comprehensive assessment of eight geriatric impairments and their co-occurrence in a representative sample (3471 participant aged 65-104 years, mean age 78.3 years) of the old adults living in the community in Poland. The participants were recruited randomly from all administrative regions of Poland by a three-stage, proportional, stratified-by-age group selection process...
October 27, 2016: Aging
https://www.readbyqxmd.com/read/27790549/ureteral-reflux-into-an-ectopic-upper-moeity-of-a-duplex-kidney-from-the-bladder-neck-with-distal-ureteral-pseudodiverticulum-formation
#12
Denver Steven Pinto, Tom George, Deepali Saxena, Thara Joseph, V Ravi Hoisala
Urinary incontinence is a condition causing significant psychological trauma and affects the quality of life of the affected individual. Though common causes of urinary incontinence of non-traumatic aetiology in young adults include detrusor instability and congenital conditions like meningomyelocoele, an ectopic ureter is an important surgically correctable cause of urinary incontinence. The cause of incontinence in an ectopic ureter is insertion of the ureter distal to the internal urethral sphincter. The authors describe a case report of an ectopic ureter arising from a duplex moiety with poor renal function using multiple modalities...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27783401/shared-risk-factors-for-constipation-fecal-incontinence-and-combined-symptoms-in-older-u-s-adults
#13
Uduak U Andy, Camille P Vaughan, Kathryn L Burgio, Foluke M Alli, Patricia S Goode, Alayne D Markland
OBJECTIVES: To estimate the prevalence of constipation, fecal incontinence (FI), and combined symptoms and to identify shared factors associated with bowel symptoms in older U.S. men and women DESIGN: Population-based cross-sectional study. SETTING: National Health and Nutrition Examination Survey (2005-2010). PARTICIPANTS: Women and men aged 50 and older. MEASUREMENTS: Constipation was defined as hard stool consistency on the validated Bristol Stool Form Scale or stool frequency of fewer than three bowel movements per week...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27720773/long-term-impacts-of-concurrent-posterior-urethral-valve-ablation-and-bladder-neck-incision-on-urinary-continence-and-ejaculation
#14
Sorena Keihani, Abdol-Mohammad Kajbafzadeh, Seyedeh Maryam Kameli, Reza Abbasioun
OBJECTIVE: To assess the long-term impact of bladder neck incision (BNI) on continence and ejaculatory function of adults who underwent concurrent posterior urethral valve (PUV) ablation and BNI during childhood. MATERIALS AND METHODS: A retrospective chart review was performed to find all adult patients with relevant history. All patients had undergone BNI at 6 o'clock proximal to the verumontanum with caution to leave the adventitia and verumontanum untouched...
October 5, 2016: Urology
https://www.readbyqxmd.com/read/27704537/systematic-review-of-the-prevalence-of-faecal-incontinence
#15
A Sharma, L Yuan, R J Marshall, A E H Merrie, I P Bissett
BACKGROUND: Faecal incontinence (FI) is widely recognized as a significant problem in the community. Conjecture exists around the proportion of the population affected. This systematic review evaluated studies reporting the community prevalence of FI in terms of methodology, design and definitions. METHODS: MEDLINE, Embase, CINAHL, the Cochrane Collaboration and National Guideline databases were searched for studies investigating the prevalence of FI in community-based adults published from January 1966 to February 2015...
October 5, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27701779/urinary-incontinence-in-the-netherlands-prevalence-and-associated-risk-factors-in-adults
#16
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...
October 4, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27701769/incontinence-in-persons-with-down-syndrome
#17
Justine Niemczyk, Alexander von Gontard, Monika Equit, David Medoff, Catharina Wagner, Leopold Curfs
AIMS: To assess the rates of incontinence and associated psychological problems in children, adolescents and adults with Down Syndrome, a genetic syndrome caused by partial or complete triplication (trisomy) of chromosome 21 and characterized by typical facial features, a physical growth delay and mild or moderate intellectual disability. METHODS: Three hundred and seventeen persons with Down Syndrome (4-51 years) were recruited through a German parent support group (59...
October 4, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27687820/solifenacin-in-children-and-adolescents-with-overactive-bladder-results-of-a-phase-3-randomised-clinical-trial
#18
Donald Newgreen, Brigitte Bosman, Adriana Hollestein-Havelaar, Ellen Dahler, Robin Besuyen, Will Sawyer, Stéphane Bolduc, Søren Rittig
BACKGROUND: Solifenacin, an effective, well-tolerated treatment for adult overactive bladder (OAB) symptoms, has not been evaluated in placebo-controlled paediatric clinical trials. OBJECTIVES: To evaluate the efficacy and safety of once-daily oral solifenacin suspension in OAB patients aged 5-<12 yr (children) and 12-<18 yr (adolescents). DESIGN, SETTING, AND PARTICIPANTS: The study involved a 4-wk urotherapy run-in followed by 1:1 randomisation to 12-wk double-blind solifenacin or placebo treatment alongside urotherapy...
September 28, 2016: European Urology
https://www.readbyqxmd.com/read/27682986/urinary-incontinence-and-mortality-among-older-adults-residing-in-care-homes
#19
Javier Damián, Roberto Pastor-Barriuso, Fernando J García López, Jesús de Pedro-Cuesta
AIM: To assess the association between baseline urinary incontinence and long-term, all-cause mortality. BACKGROUND: Urinary incontinence is a common disorder among older institutionalised adults, with important consequences for morbidity and quality of life. Moreover, while it is a consistent mortality marker, the extent to which this association might be causal remains controversial. DESIGN: A cohort study. METHODS: We conducted a mortality follow-up study on a cohort of 675 nursing-home residents in the city of Madrid (Spain), from their 1998-1999 baseline interviews to September 2013...
September 28, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27678299/nocturnal-polyuria-in-older-women-with-urge-urinary-incontinence-role-of-sleep-quality-time-in-bed-and-medications-used
#20
Shachi Tyagi, Subashan Perera, Becky D Clarkson, Stasa D Tadic, Neil M Resnick
PURPOSE: Nocturia is common and bothersome in older adults especially those who are also incontinent. Since nocturnal polyuria (NP) is a major contributor, we examined factors associated with NP in this population to identify those possibly amenable to intervention. METHOD: We analyzed baseline data from two previously-completed studies of urge urinary incontinence (UUI). The studies involved 284 women (mean 72.9 ±7.9 years) who also completed 3-day voiding diaries...
September 24, 2016: Journal of Urology
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