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Adult incontinence

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https://www.readbyqxmd.com/read/29441610/a-cross-sectional-single-institution-study-of-quality-of-life-in-adult-patients-with-spina-bifida
#1
Caitlin T Coco, Bhalaajee Meenakshi-Sundaram, Ahmed Eldefrawy, Millard L Henry, Tanya Watts, Christopher E Aston, Jennifer Lewis, Dominic C Frimberger, Gennady Slobodov
OBJECTIVE: To describe and compare differences in perception of independence, urinary continence, and quality of life in an adult spina bifida (SB) population. METHODS: We collected data on adult neurogenic bladder patients which included demographics, relevant procedures, and quality of life (QoL) questionnaires. QoL and functional outcomes were assessed using spinal cord independence measure (SCIM) and SF-8 health questionnaire. International consultation of incontinence questionnaire (ICIQ) was used to assess incontinence...
February 14, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29439853/frailty-predicts-incident-urinary-incontinence-among-hospitalized-older-adults-a-1-year-prospective-cohort-study
#2
Edward Chong, Mark Chan, Wee Shiong Lim, Yew Yoong Ding
OBJECTIVES: The relationship between frailty and urinary incontinence (UI) remains highly complex. There is limited data on the impact of frailty on new-onset UI among hospitalized older adults. Thus, we examined the ability of frailty to predict incident UI among them. DESIGN: Prospective cohort study. SETTING: Acute geriatric unit at a large teaching hospital. PARTICIPANTS: Older adults hospitalized for an acute medical illness...
February 10, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29429311/management-of-faecal-incontinence
#3
John Guinane, Rosie Crone
BACKGROUND: Faecal incontinence significantly affects a patient's quality of life, and limited research has been conducted into effective interventions that are specific to residential aged care. Australian and New Zealand prevalence data indicate a general faecal incontinence rate of 12-13% in older adults and up to 50% in residential aged care. OBJECTIVE: The objective of this article is to describe the suggested initial investigation and management of faecal incontinence in older adults residing in residential aged care...
January 2018: Aust J Gen Pract
https://www.readbyqxmd.com/read/29417723/health-status-of-older-adults-living-in-the-community-in-japan-recent-changes-and-significance-in-the-super-aged-society
#4
REVIEW
Takao Suzuki
As of 2017, the total Japanese population was 126.7 million, which included 35 million who were aged ≥65 years (27.6%) and 17.3 million aged ≥75 years (13.7%). From now, the old-old aged ≥75 years will increase rapidly in Japan compared with the young-old aged 65-74 years. The characteristics of the old-old include deterioration of activities of daily living (ADL) functions and an increase of chronic diseases, which are unavoidable consequences of advanced age. In the present review article, secular changes of the health status and functional capacity of older people living in communities are described based on representative longitudinal studies on aging in Japan...
February 8, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29416284/prolapsed-ureterocele-in-an-adult-woman-after-endoscopic-incision
#5
Davide Campobasso, Andrea Lanzi, Gian Luigi Pozzoli, Antonio Frattini
A 44-year-old woman underwent endoscopic incision of a right simple ureterocele with hydronephrosis discovered during gynecological assessment for stress urinary incontinence with Stage I cystocele. At the postoperative visits, she has reported a persistent flap of mucosa coming out from her urethra protruding in the vagina despite manual reduction. An endoscopic resection of the mucosa flap was programmed. After 24 months, she was asymptomatic with no history of renal colic or urinary tract infection. In patients with a history of pelvic organ prolapse, the resection of the ureterocele in the first instance may be the optimal choice...
January 2018: Urology Annals
https://www.readbyqxmd.com/read/29392749/the-impact-of-a-mobile-application-based-treatment-for-urinary-incontinence-in-adult-women-design-of-a-mixed-methods-randomized-controlled-trial-in-a-primary-care-setting
#6
Anne M M Loohuis, Nienke J Wessels, Petra Jellema, Karin M Vermeulen, Marijke C Slieker-Ten Hove, Julia E W C van Gemert-Pijnen, Marjolein Y Berger, Janny H Dekker, Marco H Blanker
AIMS: We aim to assess whether a purpose-developed mobile application (app) is non-inferior regarding effectiveness and cost-effective when used to treat women with urinary incontinence (UI), as compared to care as usual in Dutch primary care. Additionally, we will explore the expectations and experiences of patients and care providers regarding app usage. METHODS: A mixed-methods study will be performed, combining a pragmatic, randomized-controlled, non-inferiority trial with an extensive process evaluation...
February 2, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29388707/is-there-brain-oab-and-how-can-we-recognize-it-international-consultation-on-incontinence-research-society-ici-rs-2017
#7
Apostolos Apostolidis, Adrian Wagg, Mohammad S Rahnam A'i, Jalesh N Panicker, Desiree Vrijens, Alexander von Gontard
AIMS: In light of mounting evidence supporting the association of brain regions with the control of urine storage and voiding, the high placebo effect in OAB studies as well as certain anecdotal observations from clinical practice with OAB patients, the role of the brain in OAB was explored. METHODS: At the ICI-RS 2017 meeting, a panel of Functional Urologists and Basic Scientists presented literature data generating a proposal to discuss whether there is "brain OAB" and how we could recognize it...
February 1, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29357530/re-vitamin-d-and-incident-urinary-incontinence-in-older-adults
#8
Tomas L Griebling
No abstract text is available yet for this article.
February 2018: Journal of Urology
https://www.readbyqxmd.com/read/29352821/a-brief-assessment-unravels-unmet-needs-of-older-people-in-primary-care-a-mixed-methods-evaluation-of-the-spice-tool-in-portugal
#9
Conceição Balsinha, Maria J Marques, Manuel Gonçalves-Pereira
Assessments of need may contribute to identifying health problems associated with functional deterioration in older people. A shorter version of the Camberwell Assessment of Need for the Elderly was developed for routine use in primary care, focusing on five domains: Senses, Physical ability, Incontinence, Cognition, and Emotional distress (SPICE). We aimed to explore its usefulness and feasibility in primary care. We selected a consecutive sample of 51 community-dwelling older adults. The SPICE interview was completed by GPs and patients, with perceptions about its use in primary care being explored...
January 21, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29340963/interactions-between-drugs-and-geriatric-syndromes-in-nursing-home-and-home-care-results-from-shelter-and-ibenc-projects
#10
Graziano Onder, Silvia Giovannini, Federica Sganga, Ester Manes-Gravina, Eva Topinkova, Harriet Finne-Soveri, Vjenka Garms-Homolová, Anja Declercq, Henriëtte G van der Roest, Pálmi V Jónsson, Hein van Hout, Roberto Bernabei
AIM: Drugs may interact with geriatric syndromes by playing a role in the continuation, recurrence or worsening of these conditions. Aim of this study is to assess the prevalence of interactions between drugs and three common geriatric syndromes (delirium, falls and urinary incontinence) among older adults in nursing home and home care in Europe. METHODS: We performed a cross-sectional multicenter study among 4023 nursing home residents participating in the Services and Health for Elderly in Long-TERm care (Shelter) project and 1469 home care patients participating in the Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project...
January 16, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29331051/fecal-incontinence-knowledge-attitudes-and-help-seeking-behaviors-among-community-dwelling-adults-in-korea
#11
Hee-Kyung Joh, Moo-Kyung Seong, Hyun-Jun Ahn
OBJECTIVES: Fecal incontinence (FI) is a common debilitating disorder that tends to be underreported. Although low health literacy likely contributes to the underreporting, studies on FI knowledge among the general population remain scarce. We investigated how FI knowledge is associated with attitudes and help-seeking behaviors. METHODS: We conducted a cross-sectional survey among community-dwelling adults undergoing national health screening in Korea. A structured, self-administered questionnaire was used to assess FI knowledge, attitudes, and help-seeking behaviors...
January 13, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29331047/the-economic-burden-of-overactive-bladder-in-the-united-states-a-systematic-literature-review
#12
REVIEW
Lauren C Powell, Shelagh M Szabo, David Walker, Katherine Gooch
AIMS: Overactive bladder (OAB) affects up to 17% of the United States (US) population. This study aimed to synthesize estimates of direct and indirect costs of OAB in the US and compare costs among those with and without OAB. METHODS: A systematic review was performed using MEDLINE/PubMed and Embase, from 2003 to 2016, following PRISMA guidelines. The target population was adults with idiopathic OAB or urge urinary incontinence from the US. Data were extracted on study and patient characteristics, all-cause and OAB-specific direct costs, resource use, and indirect costs...
January 13, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29324571/physical-activity-patterns-and-sedentary-behavior-in-older-women-with-urinary-incontinence-an-accelerometer-based-study
#13
Christine M Chu, Kavita D Khanijow, Kathryn H Schmitz, Diane K Newman, Lily A Arya, Heidi S Harvie
PURPOSE: Objective physical activity data for women with urinary incontinence are lacking. We investigated the relationship between physical activity, sedentary behavior, and the severity of urinary symptoms in older community-dwelling women with urinary incontinence using accelerometers. MATERIALS AND METHODS: This is a secondary analysis of a study that measured physical activity (step count, moderate-to-vigorous physical activity time) and sedentary behavior (percentage of sedentary time, number of sedentary bouts per day) using a triaxial accelerometer in older community-dwelling adult women not actively seeking treatment of their urinary symptoms...
January 10, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29319744/urinary-incontinence-in-hospital-patients-prevalence-and-associated-factors
#14
Jaqueline Betteloni Junqueira, Vera Lúcia Conceição de Gouveia Santos
OBJECTIVES: to analyze the prevalence of urinary incontinence and its associated factors in hospital patients. METHOD: this is a cross-sectional epidemiological study whose data were collected using the instruments Sociodemographic and Clinical Data, Characteristics of Urinary Leakage and International Consultation on Incontinence Questionnaire - Short Form. Prevalence was surveyed on a single day for four consecutive months. Data were analyzed using Chi-square test, Fisher's exact test, Student t-test, Mann-Whitney test and logistic regression (forward stepwise)...
January 8, 2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29315797/high-luteinizing-hormone-weakens-urinary-continence-mechanisms-in-association-with-prostaglandin-e2-elevation-in-a-postmenopausal-rat-model
#15
Tomohiro Eriguchi, Naoki Kawamorita, Natsuho Hayashi, Yohei Satake, Hideaki Izumi, Yasuhiro Kaiho, Yoichi Arai
AIMS: To explore the role of luteinizing hormone (LH) in the urinary continence mechanism, urethral function was investigated using a postmenopausal rat model with high serum LH concentrations and the postmenopausal rat model given a gonadotropin releasing hormone (GnRH) antagonist to lower LH concentrations. METHODS: Adult female rats were divided into: 1) sham group; 2) ovariectomy group (OVX) with removal of bilateral ovaries; 3) OVX and GnRH-antagonist administered group (OVX + G); and 4) sham and GnRH-antagonist administered group (Sham + G)...
January 9, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29315488/towards-an-international-language-for-incontinence-associated-dermatitis-iad-design-and-evaluation-of-psychometric-properties-of-the-ghent-global-iad-categorisation-tool-globiad-in-30-countries
#16
D Beeckman, K Van den Bussche, P Alves, M C Arnold Long, H Beele, G Ciprandi, F Coyer, T de Groot, D De Meyer, E Deschepper, A M Dunk, A Fourie, P García-Molina, M Gray, A Iblasi, R Jelnes, E Johansen, A Karadağ, K Leblanc, Z Kis Dadara, S Meaume, A Pokorna, M Romanelli, S Ruppert, L Schoonhoven, S Smet, C Smith, A Steininger, M Stockmayr, N Van Damme, D Voegeli, A Van Hecke, S Verhaeghe, K Woo, J Kottner
BACKGROUND: Incontinence-associated dermatitis (IAD) is a specific type of irritant contact dermatitis with different levels of severity. An internationally accepted instrument to assess the severity of IAD in adults with established diagnostic accuracy, agreement, and reliability is needed to support clinical practice and research. OBJECTIVES: To design and psychometrically evaluate the Ghent Global IAD Categorisation Tool (GLOBIAD). METHODS: The design was based on expert consultation using a three-round Delphi procedure with 34 experts from 13 countries...
January 8, 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29313166/sacral-nerve-stimulation-for-faecal-incontinence-and-constipation-in-adults
#17
REVIEW
E Falletto, S Brown, G Gagliardi
No abstract text is available yet for this article.
January 8, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29305250/diagnosis-and-treatment-of-urinary-tract-infections-across-age-groups
#18
REVIEW
Christine M Chu, Jerry L Lowder
Urinary tract infections (UTI) are the most common outpatient infections, but predicting the probability of UTI through symptoms and test results can be complex. The most diagnostic symptoms of UTI include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but UTIs may present differently in older women. Dipstick urinalysis is popular for its availability and usefulness, but results must be interpreted in context of the patient's pretest probability based on symptoms and characteristics...
January 2, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29302151/cryptococcal-meningitis-masquerading-as-normal-pressure-hydrocephalus-in-an-immune-competent-adult
#19
Hitesh Raheja, Ankur Sinha, Pavan Kumar Irukulla, Yizhak Kupfer
We report a case of acute cryptococcal meningitis (CM) masquerading as normal pressure hydrocephalus (NPH) in an immune-competent female. An 85-year-old human immunodeficiency virus-negative female presented to the emergency room for altered mental status and difficulty walking. She was increasingly lethargic, with urinary incontinence and gait instability. A previous computed tomography was reported to have ventricular dilatation out of proportion to the degree of cortical atrophy. Magnetic resonance scan of the brain revealed ventricular dilatation and subtle debris layering the occipital horns of the lateral ventricles...
October 2017: Journal of Global Infectious Diseases
https://www.readbyqxmd.com/read/29300291/incontinence-associated-dermatitis-characteristics-and-relationship-to-pressure-injury-a-multisite-epidemiologic-analysis
#20
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...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
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