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Pelvic Relaxation

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181. Mindfulness?based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta?analysis Full Text available with Trip Pro

, with a total of 8,135 participants who were randomized to MBSR or a control group ( ). Table 1. Study characteristics Study name Target Group Outcome Measures F‐up (ms) N MBSR hours Practice Min/day Atten‐dance % Women % ITT / Non‐ITT Alterman 2004 Substance abusers ASI, SF‑36‑Vit, SF‑36 PH, SF‑36 MH, SAS, LOT, LAP‑R, PANAS‑Pos 5 31 23 58 Non‐ITT Amutio 2015 Physicians Basic relaxation, Positive energy, Transcendence, Core‐mindfulness, FFMQ 72 28 57 ITT Anderson 2007 Healthy adults BAI, BDI, Anger Rum (...) sensory, MAAS 28 20 75 Non‐ITT Bränström 2010 Cancer patients HADS Anx, HADS Depr, IES‐aviodance, IES‐hyperarousal, IES‐intrusion, PSS, PSOM, FFMQ AA, FFMQ D, FFMQ NJ, FFMQ NR, FFMQ O, Coping self‐efficacy 4 71 16 73 98,6 ITT Carmody 2011 Hot flushes HADS anx, PSS, Overall QOL, Sleep quality 110 27 100 Non‐ITT Carson 2004 Normal couples BSI men, BSI women, Ind relax IRI men, Ind relax IRI wom, INSPIRIT men, INSPIRIT wom, LOT optimism men, LOT optimism wom 3 57 27 32 80 50 Non‐ITT Cohen‐Katz 2005

2017 Campbell Collaboration

182. Utian Translational Science Symposium report: New Ttherapies for Leiomyomas: When Surgery May Not Be the Best Option

symptoms may produce pelvic pressure; uri- nary frequency, urgency, and incontinence; abdominal distension; constipation; back pain; or dyspareunia. 4 Repro- ductivedysfunction,althoughusuallyadiagnosisofexclusion from other factors, may include difficulty conceiving and recurrentpregnancyloss.Pregnanciesmaybecomplicatedby abnormalplacentation,small-for-gestational-ageinfants,pre- mature delivery, malpresentation, increases in caesarean delivery rates, or postpartum haemorrhage. 4,5 Risks for uterine (...) because of necrosis or torsion of a pedunculated leio- myoma, deep vein thrombosis because of physical obstruc- tion, or even polycythemia because of erythropoietin produced by the leiomyoma. 11 A mass may be observed or palpatedinthelowerabdomen,andirregularuterineenlarge- ment may be found during pelvic examination. A pelvic ultrasound will confirm the diagnosis. Magnetic resonance imaging(MRI)or3-Dultrasoundcanbeusedforpreoperative mappingandmayberequiredtodifferentiateanovarianfrom a uterine mass

2018 The North American Menopause Society

183. Urological Trauma

., et al. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int, 2004. 94: 277. 121. Chou, M.T., et al. Prophylactic ureteral catheterization in gynecologic surgery: a 12-year randomized trial in a community hospital. Int Urogynecol J Pelvic Floor Dysfunct, 2009. 20: 689. 122. Delacroix, S.E., Jr., et al. Urinary tract injures: recognition and management. Clin Colon Rectal Surg, 2010. 23: 104. 123. Visco, A.G., et al. Cost-effectiveness of universal cystoscopy to identify (...) Kidney Autotransplantation: A Minimally Invasive Way to Salvage Kidneys. Eur Urol Focus, 2018. 4: 198. 152. Zhao, L.C., et al. Robotic Ureteral Reconstruction Using Buccal Mucosa Grafts: A Multi-institutional Experience. Eur Urol, 2017. 153. Pereira, B.M., et al. Bladder injuries after external trauma: 20 years experience report in a population-based cross-sectional view. World J Urol, 2013. 31: 913. 154. Figler, B.D., et al. Multi-disciplinary update on pelvic fracture associated bladder

2018 European Association of Urology

185. Neuro-urology

with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 2008. 19: 955. 61. Henze, T. Managing specific symptoms in people with multiple sclerosis. Int MS J, 2005. 12: 60. 62. Liu, C.W., et al. The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK. Spinal Cord, 2010. 48: 319. 63. Khalaf, K.M., et al. The impact of lower urinary tract symptoms on health-related quality of life among patients with multiple sclerosis. Neurourol (...) viewpoint. J Pediatr Urol, 2017. 97. Yang, C.C., et al. Bladder management in women with neurologic disabilities. Phys Med Rehabil Clin N Am, 2001. 12: 91. 98. Podnar, S., et al. Protocol for clinical neurophysiologic examination of the pelvic floor. Neurourol Urodyn, 2001. 20: 669. 99. Harrison, S., et al. Urinary incontinence in neurological disease: assessment and management. NICE Clinical Guideline 2012. [CG148]. 100. Liu, N., et al. Autonomic dysreflexia severity during urodynamics and cystoscopy

2018 European Association of Urology

186. Male Sexual Dysfunction

. Erectile dysfunction in the cardiovascular patient. Eur Heart J, 2013. 34: 2034. 50. Seftel, A.D., et al. Coexisting lower urinary tract symptoms and erectile dysfunction: a systematic review of epidemiological data. Int J Clin Pract, 2013. 67: 32. 51. Rosen, R., et al. Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur Urol, 2003. 44: 637. 52. Zhang, Y., et al. Erectile Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome (...) 2 and 4 years after radical prostatectomy. J Urol, 2009. 181: 731. 79. Incrocci, L., et al. Pelvic radiotherapy and sexual function in men and women. J Sex Med, 2013. 10 Suppl 1: 53. 80. Morgia, G., et al. Association between long-term erectile dysfunction and biochemical recurrence after permanent seed I(125) implant brachytherapy for prostate cancer. A longitudinal study of a single-institution. Aging Male, 2016. 19: 15. 81. Stember, D.S., et al. The concept of erectile function preservation

2018 European Association of Urology

188. Muscle-invasive and Metastatic Bladder Cancer

, and late gadolinium-enhanced imaging. Radiology, 1994. 193: 239. 103. Kim, J.K., et al. Bladder cancer: analysis of multi-detector row helical CT enhancement pattern and accuracy in tumor detection and perivesical staging. Radiology, 2004. 231: 725. 104. Yang, W.T., et al. Comparison of dynamic helical CT and dynamic MR imaging in the evaluation of pelvic lymph nodes in cervical carcinoma. AJR Am J Roentgenol, 2000. 175: 759. 105. Kim, S.H., et al. Uterine cervical carcinoma: evaluation of pelvic lymph (...) node metastasis with MR imaging. Radiology, 1994. 190: 807. 106. Kim, S.H., et al. Uterine cervical carcinoma: comparison of CT and MR findings. Radiology, 1990. 175: 45. 107. Oyen, R.H., et al. Lymph node staging of localized prostatic carcinoma with CT and CT-guided fine-needle aspiration biopsy: prospective study of 285 patients. Radiology, 1994. 190: 315. 108. Barentsz, J.O., et al. MR imaging of the male pelvis. Eur Radiol, 1999. 9: 1722. 109. Dorfman, R.E., et al. Upper abdominal lymph nodes

2018 European Association of Urology

189. Urinary Incontinence

, S.S., et al. Responsiveness of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire in women undergoing treatment for pelvic floor disorders. Int Urogynecol J, 2013. 24: 213. 16. Kim, J., et al. 1576 Is there a relationship between incontinence impact questionnaire 7 score after surgery for stress urinary incontinence and patient-perceived satisfaction and improvement? J Urol. 189: e647.J Urol. 189: e647. (13)03402-2/abstract 17. Tran, M.G., et al. Patient reported outcome (...) )/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn, 2011. 30: 2. 21. Brown, J.S., et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology, 2003. 61: 802. 22. Nygaard, I., et al. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int

2018 European Association of Urology

190. Adult Urodynamics

and Reporting Patient Education Adult Urodynamics: AUA/SUFU Guideline (2012) Published 2012 This guideline developed by AUA in collaboration with the Society for Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction is intended to review the literature regarding the use of urodynamic testing in common lower urinary tract symptoms (LUTS) conditions. It presents the principles of application and technique to guide the clinician in the role of urodynamics in complex LUTS disorders. [pdf] [pdf (...) with reduction of the prolapse in women with high grade pelvic organ prolapse (POP) but without the symptom of SUI. Multi-channel urodynamics with prolapse reduction may be used to assess for occult stress incontinence and detrusor dysfunction in these women with associated LUTS. ( Option ; Evidence Strength : Grade C) Overactive Bladder (OAB), Urgency Urinary Incontinence (UUI), Mixed Incontinence 6. Clinicians may perform multi-channel filling cystometry when it is important to determine if altered

2018 American Urological Association

191. WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections

, Intervention, Comparator, Outcome PFMT Pelvic Floor Muscle T raining RCT Randomized Controlled T rial RD Risk Difference RR Risk Ratio TWG T echnical Working Group UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund USAID United States Agency for International Development VBAC Vaginal Birth After Caesarean WHO World Health Organization8 WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections Executive summary Introduction Caesarean section (...) relaxation training programme (content includes group discussion of anxiety and stress-related issues in pregnancy and purpose of applied relaxation, deep breathing techniques, among other relaxation techniques). ? ? Psychosocial couple-based prevention programme (content includes emotional self-management, conflict management, problem solving, communication and mutual support strategies that foster positive joint parenting of an infant). “Couple” in this recommendation includes couples, people

2018 World Health Organisation Guidelines

192. Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update

interventions mostly aim to strengthen the pelvic floor and change behaviors that influence bladder function, whereas pharmacological interventions mostly address bladder and sphincter function. This report addresses a Contextual Question and four Key Questions. Key Question 1: What are the benefits and harms of nonpharmacological treatments of UI in women, and how do they compare with each other? Key Question 2: What are the benefits and harms of pharmacological treatments of UI in women, and how do (...) Abbreviations: AE = adverse events, Imp = improvement, MBSR = mindfulness-based stress reduction, PFMT = pelvic floor muscle therapy, QoL = quality of life, Sat = satisfaction, TENS = transcutaneous electrical nerve stimulation (including transvaginal, surface, and related electric stimulation used to treat UI), UI = urinary incontinence. * The categorization of different interventions was based on recommendations from The National Institute for Health and Care Excellence (NICE) and American Urological

2018 Effective Health Care Program (AHRQ)

194. WHO recommendations: intrapartum care for a positive childbirth experience

preferences. Recommended Opioid analgesia for pain relief 20. Parenteral opioids, such as fentanyl, diamorphine and pethidine, are recommended options for healthy pregnant women requesting pain relief during labour, depending on a woman’s preferences. Recommended Relaxation techniques for pain management 21. Relaxation techniques, including progressive muscle relaxation, breathing, music, mindfulness and other techniques, are recommended for healthy pregnant women requesting pain relief during labour

2018 World Health Organisation Guidelines

195. A letter to my younger self

to see a trauma patient with a reasonable mechanism – but because he is stable and pain-free, you’ll decide not to do the pelvic XRay. That’s a mistake. You’re going to miss his unstable pelvic fracture. Thankfully one of your colleagues will find it and the patient ends up being ok. But, know that this will eat at you for weeks. You’ll talk to friends and colleagues who will make you feel better, but honestly – nothing makes a mistake easy to swallow. You just have to learn from it, it’ll make you (...) and reputations tarnished by poor interactions with allied health professionals. When someone is being rude to a nurse, stand up for them. It isn’t until you’re more senior that you have the confidence to this, and you’ll regret not doing it in some situations, but remember that your allied health colleagues are advocating for patients, and don’t deserve any abuse, from anyone, ever. Take vacations Real ones. Where you completely step away from working / studying, and relax. You’ll come to realize when you’ve

2018 CandiEM

196. Padeliporfin (Tookad) - prostate cancer / Prostatic Neoplasms

of positive cores, prostate volume and disease status (unilateral or bilateral) in addition to treatment to provide an adjusted comparison of the 2 treatment groups with respect to probability of success/failure for co-primary endpoint A and the HR of progression for co-primary endpoint B. In the Cox model analysis, the proportional hazard assumption was checked graphically plotting the log(-log[survival]) and was to be relaxed if necessary. For co-primary endpoint B, subjects who withdrew from the study (...) radiotherapy (location -pelvis, bone, other), TURP, other non- radical therapy). Updates on the status of recruitment are expected to be given by the applicant post-authorisation. Assessment report EMA/644309/2017 Page 93/146 Criteria for retreatment of the same lobe were not presented but were presumed to be the same as for initial treatment. It is not known how many patients were considered eligible for or were offered retreatment. Very few patients actually underwent retreatment. The percentage necrosis

2017 European Medicines Agency - EPARs

197. Exam Series: Guide to the Back Exam

nerve root irritation. Sacroiliac Joint Pain : Position the patient in a supine figure-of-four position – Flex, Abduct, and Externally Rotate one hip – placing the foot on the opposite knee. Push down on the outstretched knee while stabilizing the opposite pelvis. Pain and decreased movement of the test leg suggests sacroiliac joint pain. Gaenslen’s: Allow the patient to hang one leg off of the bed while lying supine, then instruct them to bring the other knee to their chest. Pain in the buttock (...) and pelvis. Typically in young male patients <40. Pain should be >3 months in duration, improving with movement and worsening with rest. Limited chest expansion. Systemic manifestations include uveitis, pulmonary fibrosis, and renal amyloidosis. X-rays show a bamboo spine: squaring of the vertebral bodies. HLA-B27 positive and RF negative on serology. Degenerative disc disease Age related loss of disc height. Rare in children and older adults with fibrotic discs. Axial back pain with no lower limb

2018 CandiEM

198. Spine Surgery

Surgery 6 Definitions Conservative management should include a combination of strategies to reduce inflammation, alleviate pain, and improve function, including but not limited to the following: ? Prescription strength anti-inflammatory medications and analgesics ? Adjunctive medications such as nerve membrane stabilizers or muscle relaxants ? Physician-supervised therapeutic exercise program or physical therapy ? Manual therapy or spinal manipulation ? Alternative therapies such as acupuncture (...) segments (List separately in addition to code for primary procedure) 22846 Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) 22847 Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) 22848 Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) 22849 Reinsertion of spinal

2018 AIM Specialty Health

199. CRACKCast E180 – Labor & Delivery

fetal neck extension is associated with cord injuries and worsening dystocia, this maneuver is useful to ensure a successful vaginal delivery. This maneuver should only be attempted once the fetal elbows and chin have entered the pelvic inlet to avoid inducing the Moro reflex, in which fetal head flexion results in the arms being suddenly extended. During this maneuver, the fetal pelvis should be supported to avoid abdominal injuries. A generous episiotomy may be necessary to facilitate the maneuver (...) don’t have the luxury of whisking off the patient to the OR Let’s kick it back to our obs/gyne block and think through the causative factors; or the three P’s The passage – narrow pelvic architecture The passenger – big head, or malpresentation The power problem – uterus isn’t pushing like it should Tired mom Mother is sedated too much Chorioamnionitis Electrolyte abnormality (Ks, Cas, Mg, Phos, Na) Usually the cause is multifactorial! 6) Describe the steps in a “normal” delivery (in the ER) Let’s

2018 CandiEM

200. British Association of Dermatologists? guidelines for the investigation and management of generalized pruritus in adults without an underlying dermatosis

a computed tomography scan of the neck, chest, abdomen and pelvis. A number of cancer treatments, including radiotherapy, can lead to pruritus by a variety of mechanisms. 63–65 Treatment of the malignancy can often help to resolve pruritus. 63,65,74 Can- cer-drug-induced pruritus requires modi?cation or discontinua- tion of medications. 63,64 Biological therapies are now commonly used in oncology. A recent meta-analysis of 33 RCTs concluded that pruritus was a signi?cant side-effect of cancer treatment (...) as ‘psy- chogenic’. The French psychodermatology group proposed that psychogenic pruritus should be renamed ‘functional itch disorder’. Relevant diagnostic criteria are outlined in Table 4. 182 A nursing programme ‘Coping with Itch’ included educa- tion on how to avoid trigger factors, how to apply treatments, lifestyle interventions, patient support groups, relaxation tech- niques and changes to cognition and behaviour. 186 A con- trolled study found no signi?cant difference in the intensity of itch

2018 British Association of Dermatologists

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