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Pelvic Relaxation

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261. Genetics of Skin Cancer (PDQ®): Health Professional Version

and occur in 70% to 80% of individuals with BCNS.[ ] When these pits occur together with early-onset BCC and/or KCOTs, they are considered diagnostic for BCNS.[ ] Several characteristic radiologic findings have been associated with BCNS, including lamellar calcification of falx cerebri;[ , ] fused, splayed or bifid ribs;[ ] and flame-shaped lucencies or pseudocystic bone lesions of the phalanges, carpal, tarsal, long bones, pelvis, and calvaria.[ ] Imaging for rib abnormalities may be useful (...) Syndrome (BCNS) Colloquium Group Recommendations for Surveillance in BCNS For Adults: • MRI of brain (baseline) • Skin examination every 4 months • Panorex of jaw every year • Neurological evaluation (if previous medulloblastoma) • Pelvic ultrasound (baseline) • Gynecologic examination every year • Nutritional assessment • Fetal assessment for hydrocephalus, macrocephaly, and cardiac fibromas in pregnancy • Minimization of diagnostic radiation exposure when feasible For Children: • MRI of brain

2018 PDQ - NCI's Comprehensive Cancer Database

262. Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version

that patients with Lynch syndrome are also at risk of developing transitional cell carcinoma of the ureters and renal pelvis; cancers of the stomach, small intestine, liver and biliary tract, brain, breast, prostate, and adrenal cortex; and sebaceous skin tumors (Muir-Torre syndrome).[ - ] pathogenic variants in the genes responsible for these autosomal dominant cancer syndromes produce different clinical of characteristic malignancies and, in some instances, associated nonmalignant abnormalities

2018 PDQ - NCI's Comprehensive Cancer Database

264. Treatment-Related Nausea and Vomiting (PDQ®): Health Professional Version

. Longer latency of onset of posttreatment N&V.[ ] Emetogenic potential of various chemotherapeutic agents. Patients receiving drugs with a moderate to severe potential for posttreatment N&V are more likely to develop ANV.[ ] History of morning sickness during pregnancy. Treatment of ANV Antiemetic drugs do not seem to control ANV once it has developed;[ ] however, a variety of behavioral interventions have been investigated.[ ] These include the following: Progressive muscle relaxation with guided (...) imagery.[ ] Hypnosis.[ ] Systematic desensitization.[ ] Electromyography and thermal biofeedback.[ ] Distraction via the use of video games.[ , ] Progressive muscle relaxation with guided imagery, hypnosis, and systematic desensitization has been studied the most and should be considered as treatment. Referral to a psychologist or other mental health professional with specific training and experience in working with cancer patients should be considered when ANV is identified. The earlier ANV

2018 PDQ - NCI's Comprehensive Cancer Database

265. Easing the strain: put your feet up for constipation

can cause constipation, particularly in children – it’s best to move your bowels when you feel the first urge. Poo position You can help reduce the stress on the tissues and reduce straining by squatting to pass a bowel movement. This position encourages the pelvic floor to relax. This can be mimicked on a Western style toilet by raising the feet on a low stool. A stool stool, if you will. Sitting with hips at 90 degrees means the puborectalis muscle is not relaxed, which means the kink (...) Easing the strain: put your feet up for constipation Easing the strain: put your feet up for constipation - Evidently Cochrane Search and hit Go By February 24, 2016 // In this guest blog, pelvic physiotherapist and comedian Elaine Miller tells us what we need to know to avoid constipation and when the going gets tough. This is the third blog in our new series Evidence for Everyday Health Choices. Constipation is a miserable condition which can worsen co-morbidities like low back pain, muscle

2016 Evidently Cochrane

266. Comedy, Continence and Collaboration

of the general public? This interests me because I’m a physiotherapist working in pelvic health. Getting people to talk about continence and sexual function is a challenge – getting them to seek help is even harder (Continence Foundation of Australia). That matters because we know that 1:3 women leak urine and that physiotherapy is effective (NICE 2013) as a front line treatment. It’s a shame that women put up with bladder symptoms because stress incontinence is largely manageable or resolvable (...) with conservative treatment (Dumoulin 2018, Boyle 2012) One issue with people not seeking help is that incontinence is a barrier to exercise. Diseases of inactivity kill more people than smoking does. This stuff really matters, and physiotherapy has an important role to play. Most research in this field is conducted on subjects recruited from clinic – which is a problem as people in clinic are the unusual ones. To demonstrate, here are all the women in the world with a pelvic floor: Here, in pink, are the women

2016 Evidently Cochrane

267. WHO guidelines on the management of health complications from female genital mutilation

: Health risks of FGM Risk Remarks PSYCHOLOGICAL RISKS (12) Post-traumatic stress disorder (PTSD) Anxiety disorders Depression LONG-TERM-RISKS (6, 8) Genital tissue damage With consequent chronic vulvar and clitoral pain Vaginal discharge Due to chronic genital tract infections Vaginal itching Menstrual problems Dysmenorrhea, irregular menses and difficulty in passing menstrual blood Reproductive tract infections Can cause chronic pelvic pain Chronic genital infections Including increased risk

2016 World Health Organisation Guidelines

269. Acne clinical guideline Full Text available with Trip Pro

evaluation. J Ethnopharmacol . 1995 ; 49 : 127–132 | | | , x 156 Hughes, H., Brown, B.W., Lawlis, G.F., and Fulton, J.E. Jr. Treatment of acne vulgaris by biofeedback relaxation and cognitive imagery. J Psychosom Res . 1983 ; 27 : 185–191 | | | | Role of diet in acne Effect of glycemic index B II x 157 Smith, R.N., Mann, N.J., Braue, A., Makelainen, H., and Varigos, G.A. The effect of a high-protein, low glycemic-load diet versus a conventional, high glycemic-load diet on biochemical parameters

2016 American Academy of Dermatology

270. Postpartum Hemorrhage

of Ontario Midwives IV intravenous AOR/OR adjusted odds ratio/odds ratio NICE National Institute for Health and Care Excellence ARR adjusted risk ratio NICU neonatal intensive care unit BMI body mass index PAE pelvic artery embolization CI confidence interval PO by mouth CMO College of Midwives of Ontario PPH postpartum hemorrhage CPG clinical practice guidelines PR by rectum CS caesarean section PTSD post-traumatic stress disorder dBP diastolic blood pressure RCOG Royal College of Obstetricians (...) (e.g., BMI) or interventions during labour and birth, their large sizes permit relatively precise estimates of association. It is not clear how the presence of multiple risk factors affect the overall risk of PPH in a given pregnancy. TONE Accounts for an estimated 70% of cases of PPH Abnormalities of uterine contraction • Exhaustion of the uterine muscles • Over-distended uterus • Chorioamnionitis • Anatomic distortion of the uterus • Uterine-relaxing agents TISSUE Accounts for an estimated 10

2016 Ontario Midwives

272. Vascular Claudication?Assessment for Revascularization

and weakness in an active muscle group, reproducibly precipitated by similar amounts of exercise and promptly relieved by rest. Claudication is most commonly a manifestation of peripheral arterial disease (PAD), but other disease entities can present similarly. Nonarterial etiologies represent up to 45% of patients being evaluated for claudication [1]. The most common nonarterial cause is neurogenic disease (especially spinal stenosis), but other diseases, such as compartment syndromes, pelvic tumors (...) enhanced the use of contrast-enhanced MRA as a replacement for angiography in the initial evaluation. These improvements include 3T field strength, whole-body angiography, reduced gadolinium doses, and contrast agents with improved relaxivity and vascular retention characteristics [49,50]. Recent advancements in noncontrast MRA techniques for imaging peripheral-artery disease have expanded the sequence options from time-of-flight and phase-contrast imaging to include electrocardiogram-gated fresh-blood

2016 American College of Radiology

273. Sudden Onset of Cold, Painful Leg

of pelvic and lower extremity vasculature at 3.0 T: initial experience. Eur J Radiol. 2009;70(1):170-176. 3. Collins R, Burch J, Cranny G, et al. Duplex ultrasonography, magnetic resonance angiography, and computed tomography angiography for diagnosis and assessment of symptomatic, lower limb peripheral arterial disease: systematic review. Bmj. 2007;334(7606):1257. 4. Heijenbrok-Kal MH, Kock MC, Hunink MG. Lower extremity arterial disease: multidetector CT angiography meta-analysis. Radiology. 2007;245 (...) (2):433-439. 5. Kreitner KF, Kunz RP, Herber S, Martenstein S, Dorweiler B, Dueber C. MR angiography of the pedal arteries with gadobenate dimeglumine, a contrast agent with increased relaxivity, and comparison with selective intraarterial DSA. J Magn Reson Imaging. 2008;27(1):78-85. 6. Met R, Bipat S, Legemate DA, Reekers JA, Koelemay MJ. Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis. Jama. 2009;301(4):415- 424. 7

2016 American College of Radiology

274. Management of Chronic Pain in Survivors of Adult Cancers Full Text available with Trip Pro

(such as the so-called muscle relaxants, benzodiazepines such as clonazepam, N -methyl- D -aspartate receptor blockers such as ketamine, and α-2 agonists such as tizanidine), and varied neutraceutical and botanicals marketed as complementary or alternative medicines, are taken by some cancer survivors with chronic pain and may benefit some of those who receive them. However, the efficacy of these agents and their long-term effectiveness have not been established. Recommendation 2.6. Clinicians may prescribe (...) √ — — Acceptance-based intervention ↑ ↑ — — — Cramer √ — — Hypnosis ↑ — — — — Kwekkeboom √ — — Relaxation ↑ — — — — Matchim √ — — Mindfulness — ↑ — — — Neurostimulatory approaches Hurlow √ — — TENS — — — — — NOTE. Boldface denotes statistically significant differences between treatment groups; ↑, difference in outcomes favoring the intervention arm; ↓, difference in outcomes not favoring the intervention arm; ↑-, differences favoring the intervention in some studies in a systematic review and not favoring

2016 American Society of Clinical Oncology Guidelines

275. Urinary Tract Infection?Child

(about 8%) [29]. Surgery—open, laparoscopic, or endoscopic (injection of a bulking agent)—is usually reserved for high-grade VUR, recurrent UTI despite antibiotic prophylaxis, and noncompliance with prophylactic antibiotics [35]. Other nonsurgical treatment options are targeted to children with a variety of bladder functional abnormalities, including behavioral modification, biofeedback relaxation of the pelvic floor, and treatment of constipation [36]. UTI in a neonate requires special consideration (...) infection. Radiologic Procedure Rating Comments RRL* US kidneys and bladder 9 This is a complementary procedure. O Voiding cystourethrography 7 This is a complementary procedure. ?? Tc-99m pertechnetate radionuclide cystography 7 This procedure is an alternative for cystourethrography. Consider it in girls. ?? Tc-99m DMSA renal cortical scintigraphy 6 This procedure could be used 4 to 6 months after UTI to detect scarring. ??? CT abdomen and pelvis with IV contrast 4 This procedure is indicated

2016 American College of Radiology

278. Palliative care - nausea and vomiting: Scenario: Known cause

of complementary therapies; relaxation and acupressure bands may be useful to relieve symptoms. Consider cognitive behavioural therapy for anticipatory nausea or vomiting. In general, avoid nasogastric suction. It has no role in the management of most causes of nausea and vomiting. Basis for recommendation These recommendations are based on palliative care literature from textbooks [ ; ; ] and published journal articles [ ; ]. CKS could not find studies relating to acupuncture or relaxation for people (...) experiencing nausea and vomiting in general palliative care; the trials and reviews that were found related to chemotherapy-related nausea and vomiting (treatment of which is not covered in this CKS topic) and people experiencing nausea and vomiting who were not receiving palliative care (for example motion sickness, pregnancy, or post-operative nausea and vomiting): A review provides positive evidence that relaxation is effective for preventing nausea before, during, and after chemotherapy, and is usually

2016 NICE Clinical Knowledge Summaries

279. Patellofemoral Pain

wasting and atrophy, not elsewhere classified, unspecified lower leg M62.569 ICF body function codes Pain in lower limb b28015 Pain in joints b28016 Power of isolated muscles and muscle groups b7300 Endurance of isolated muscles b7400 ICF body structure codes Muscles of pelvic region s7402 Muscles of thigh s75002 ICF activities and participation codes Squatting d4101 Running d4552 Climbing d4551 Maintaining a sitting position d4153 Walking on different surfaces d4502 Jumping d4553 Managing diet (...) and fitness d5701 Sports d9201 PFP With Movement Coordination Deficits ICD-10 codes Patellofemoral disorders, unspecified knee M22.2X9 Other biomechanical lesions of lower extremity M99.86 ICF body function codes Pain in lower limb b28015 Pain in joints b28016 Control of complex voluntary movements b7601 Supportive functions of arm or leg b7603 Gait pattern functions b770 ICF body structure codes Muscles of pelvic region s7402 Muscles of thigh s75002 Muscles of lower leg s75012 ICF activities

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

280. Evaluation and Management of Constipation

, or pelvic outlet obstruction, are best assessed using anorectal physiology testing. 30,31 t his includes measurement of resting and squeeze pressures with anal manometry, measurement of rectal volume sen- sation, testing of rectoanal inhibitory reflex, and balloon expulsion. emG is used to assess puborectalis relaxation. Classic findings include internal sphincter hypertonia, poor incremental squeeze pressures, blunted rectal sensa- tion, paradoxical puborectalis relaxation or nonrelaxing puborectalis (...) in the management of constipation awaits formal approval by the us f ood and Drug a dministration, as well as longer-term results and follow-up. 5. Biofeedback therapy is a first-line treatment for symp - tomatic pelvic floor dyssynergia. Grade of Recommenda- tion: Strong recommendation based on moderate-quali- ty evidence, 1B Biofeedback can help patients with constipation and dyssynergic defecation. a prospective randomized trial investigated the efficacy of biofeedback (manometric- assisted anal relaxation

2016 American Society of Colon and Rectal Surgeons

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