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Pelvic Relaxation

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1161. Preliminary Study of Oxygen-Enhanced Longitudinal Relaxation in MRI: A Potential Novel Biomarker of Oxygenation Changes in Solid Tumors. (Abstract)

Preliminary Study of Oxygen-Enhanced Longitudinal Relaxation in MRI: A Potential Novel Biomarker of Oxygenation Changes in Solid Tumors. There is considerable interest in developing non-invasive methods of mapping tumor hypoxia. Changes in tissue oxygen concentration produce proportional changes in the magnetic resonance imaging (MRI) longitudinal relaxation rate (R(1)). This technique has been used previously to evaluate oxygen delivery to healthy tissues and is distinct from blood oxygenation (...) level-dependent (BOLD) imaging. Here we report application of this method to detect alteration in tumor oxygenation status.Ten patients with advanced cancer of the abdomen and pelvis underwent serial measurement of tumor R(1) while breathing medical air (21% oxygen) followed by 100% oxygen (oxygen-enhanced MRI). Gadolinium-based dynamic contrast-enhanced MRI was then performed to compare the spatial distribution of perfusion with that of oxygen-induced DeltaR(1).DeltaR(1) showed significant

2009 Biology and Physics

1162. No supplemental muscle relaxants are required during propofol and remifentanil total intravenous anesthesia for laparoscopic pelvic surgery. (Abstract)

No supplemental muscle relaxants are required during propofol and remifentanil total intravenous anesthesia for laparoscopic pelvic surgery. No administration of supplemental muscle relaxants may be beneficial to the recovery of the ambulatory laparoscopic surgery. For this study, we compared the cardiorespiratory factors during propofol and remifentanil anesthesia for laparoscopic pelvic surgery (LPS) with or without supplemental muscle relaxants.In total, 56 healthy female patients scheduled (...) to undergo laparoscopic pelvic surgeries were randomly assigned to two groups (A and B). Anesthesia was induced with lidocaine 30 mg, propofol target organ concentration 5.0 microg/mL, remifentanil 3.0 ng/mL, and rocuronium 0.6 mg/kg intravenously (i.v.). After tracheal intubation, anesthesia was maintained with 2.0-5.0 microg/mL of propofol and 1-4 ng/mL of remifentanil i.v. All the patients' lungs were mechanically ventilated in both groups and intermittent bolus doses of rocuronium (0.15 mg/kg i.v

2009 Journal of laparoendoscopic & advanced surgical techniques. Part A Controlled trial quality: uncertain

1163. Chronic Pain

in progress are investigating a variety of topics related to chronic pain, including the following: Whether tai chi is helpful for chronic low-back pain in older adults The potential value of probiotics for relieving pelvic pain associated with interstitial cystitis/bladder pain syndrome Whether progressive muscle relaxation is helpful for patients who visit emergency departments because of migraine The relationship between the availability of chiropractic care and the use of health services for back pain (...) of some approaches used for common kinds of pain. Chronic pain in general Some recent research has looked at the effects of complementary approaches on chronic pain in general rather than on specific painful conditions. A 2017 review looked at complementary approaches with the opioid crisis in mind, to see which ones might be helpful for relieving chronic pain and reducing the need for opioid therapy to manage pain. There was evidence that acupuncture, yoga, relaxation techniques , tai chi, massage

2009 National Centre for Complementary and Alternative Medicine

1164. Antenatal care for uncomplicated pregnancies

, including vitamin D supplementation for women at risk of vitamin D deficiency, and details of the Healthy Start programme Antenatal care for uncomplicated pregnancies (CG62) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 47exercise, including pelvic floor exercises place of birth (refer to NICE's guideline on intrapartum care) pregnancy care pathway breastfeeding, including workshops participant-led antenatal (...) examination during antenatal care is not recommended for the promotion of postnatal breastfeeding. 1.5.3 1.5.3 P Pelvic e elvic examination xamination 1.5.3.1 Routine antenatal pelvic examination does not accurately assess gestational age, nor does it accurately predict preterm birth or cephalopelvic disproportion. It is not recommended. 1.5.4 1.5.4 F Female genital mutilation emale genital mutilation 1.5.4.1 Pregnant women who have had female genital mutilation should be identified early in antenatal

2008 National Institute for Health and Clinical Excellence - Clinical Guidelines

1165. Postnatal care up to 8 weeks after birth

diagnosis of headache type and local treatment protocols. [2006] [2006] 1.2.42 Women with tension or migraine headaches should be offered advice on relaxation and how to avoid factors associated with the onset of headaches. [2006] [2006] F Fatigue atigue 1.2.43 Women who report persistent fatigue should be asked about their general wellbeing, and offered advice on diet, exercise and planning activities, including spending time with her baby. [2006] [2006] 1.2.44 If persistent postnatal fatigue impacts (...) are not immediately successful, bladder volume should be assessed and catheterisation considered (urgent action). [2006] [2006] Urinary incontinence Urinary incontinence 1.2.56 Women with involuntary leakage of a small volume of urine should be taught pelvic floor exercises. [2006] [2006] 1.2.57 Women with involuntary leakage of urine which does not resolve or becomes worse should be evaluated. [2006] [2006] Postnatal care up to 8 weeks after birth (CG37) © NICE 2018. All rights reserved. Subject to Notice

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

1168. Cervical Ripening and Induction of Labour

) with the patient prior to the induction, and informed consent should be obtained. • Before induction starts, the indication for, and method of induction must be clearly documented on the patient’s chart. • The primary care provider should determine accurate gestational age, the Bishop Score (ripeness) of the cervix (See 6. below), and assess the potential for cephalo-pelvic disproportion via abdominal and pelvic examination. • Electronic fetal surveillance and uterine monitoring should be performed (...) or 2.0 mU/minute every 30-60 minutes 3,11 until ideal contraction pattern is achieved (i.e. 3-4 contractions in 10 minutes, duration <90 seconds, 30 seconds relaxation between contractions) OR until a maximum dose of 20 mU/minute is attained. If higher doses are required, then the use of oxytocin should be reassessed, and a physician’s order is needed. When intrauterine death is the indication for induction, higher doses may be needed. • Note that these dosage recommendations are applicable

2005 British Columbia Perinatal Health Program

1169. Pain Management Options During Labour

. TABLE OF CONTENTS Page Introduction 2 Comfort measures and relaxation techniques 6 Transcutaneous electrical nerve stimulation (TENS) 8 Subcutaneous sterile water papules 9 Nitronox or Entonox 10 Narcotics 11 Choice of Opioid in Labour 12 Morphine 12 Fentanyl 13 Meperidine 15 Nalbuphine 16 Remifentanil 16 Labour epidural analgesia 17 Overview 17 Intermittent bolus technique 21 Continuous infusion technique and PCEA 22 Patient controlled epidural analgesia (PCEA) 23 Combined spinal epidural technique (...) of International Classification of Diseases (ICD) diagnostic codes at the mother’s delivery episode of care as follows: ICD-9 (9 th edition) (April 1, 2001 to March 31, 2004) 668.2 – CNS Complications of anesthesia ICD-10 (10 th edition) (April 1, 2004 to March 31, 2006) O74.3 – CNS complications of anesthesia during labour and delivery. O89.2 – Central nervous system complications of anesthesia during the puerperium. 2.0 COMFORT MEASURES AND RELAXATION TECHNIQUES A wide range of non-pharmacological comfort

2007 British Columbia Perinatal Health Program

1170. MRI for the detection of foetal abnormalities

the intrinsic magnetic behaviour of hydrogen nuclei in the body. This causes a change in the alignment of the nuclei so that they are oscillating perpendicular to the main field direction (excitation). Tuned receiver coils detect these magnetic field oscillations through electromagnetic induction (personal communication 1 ). Once the pulse is removed, the nuclei realign or relax at different rates depending on the surrounding environment. The relaxation time is referred to as T1. In addition to relaxation (...) and cerebrospinal fluid have a long relaxation time, compared to nuclei in tissues, with hydrogen nuclei in fat cells having the shortest relaxation time of approximately 300 milliseconds. The differences in realignment and spin times appear as differences in brightness on the MR image. A series of consecutive two-dimensional images or slices are compiled and assembled by a computer program to produce a final three-dimensional image (FASEB 2002). Foetal MRI has been performed since 1983 primarily to study

2007 Australia and New Zealand Horizon Scanning Network

1171. Complementary and alternative therapies for the management of menopause-related symptoms: a systematic evidence review Full Text available with Trip Pro

improvement in anxiety and menopausal symptoms compared with placebo. The remaining studies were considered to be of a poor quality and were not discussed in detail. Mind-body and behavioural therapies (9 studies). Two fair-quality (n=173 and n=81) and one poor-quality (n=30) trial examined exercise. Both of the fair-quality trials reported improvements (one in quality of life and one in menopausal symptoms) with treatment. Two poor-quality trials examined relaxation breathing, but neither reported (...) between-group differences. One small poor-quality study (n=14) assessed progressive muscle relaxation and found an improved time for the onset of hot flushes for the intervention group (p<0.1). No between-group differences were found for audiotape relaxation versus usual care in one poor-quality trial (n=40). One fair-quality trial of stress management versus usual care (n=86) and one fair-quality trial of counselling support for women with breast cancer versus usual care (n=76) found no between-group

2006 DARE.

1172. The effectiveness of non-invasive treatments for active myofascial trigger point pain: a systematic review of the literature

. Eligible studies compared the noninvasive intervention with placebo, other treatment or a no treatment control group. Participants included in the review Studies of participants with myofascial pain with active MTrPs were eligible for inclusion. Minimum diagnostic criteria were the presence of a taut band and spot tenderness on palpitation. The location of MTrPs studied were neck and/or upper trapezius, upper and lower back, and on the abdomen as treatment for chronic pelvic pain. Outcomes assessed (...) ultrasound (HPPT-US) with conventional ultrasound reported a significant benefit of HPPT-US. However, this study also had a low validity score. Three studies examined the use of magnet therapies. Two studies used repetitive magnetic stimulation and both found it to be superior to placebo on pain measures (p-values ranged from 0.022 to 0.001). One study reported that magnets placed on MTrPs on the abdomen for chronic pelvic pain were superior to placebo on measures of pain (p<0.05). Four studies assessed

2006 DARE.

1173. The use of episiotomy in obstetrical care: a systematic review

evidence indicated that episiotomy did not reduce rates of faecal and urinary incontinence, pelvic floor relaxation or impaired sexual function within months to years after childbirth. CRD commentary This was a complex review that addressed a number of separate though related questions. The inclusion criteria were broad but generally clear. The authors searched a range of relevant databases but the limitation to studies published in English meant that relevant studies could have been missed (...) for inclusion if they addressed at least one of five key questions (KQs) relating to: 1. effects of routine versus restricted use of episiotomy; 2. effects of episiotomy incision type; 3. effects of method of repair of the perineal defect; 4. long-term effects on urinary or faecal incontinence or pelvic floor defects; 5. effects on sexual function. Participants included in the review Studies of women giving birth in any setting (in-patient, out-patient or home) were eligible for inclusion

2005 DARE.

1174. Effects of nonsteroidal antiinflammatory drugs on patient-controlled analgesia morphine side effects: meta-analysis of randomized controlled trials

heterogeneity was assessed using the Q test. A sensitivity analysis (defined a priori) was used to explore the influence of type of surgery (peripheral versus pelvic or abdominal), intra-operative opioid and reversal of muscle relaxant on the results. The relationship between morphine consumption and the incidence of nausea and vomiting was examined using regression analysis, with weighting applied using the inverse of the variance. Results of the review Twenty-two RCTs (n=2,307) were included. Post (...) orthopaedic and pelvic or abdominal surgery. Outcomes assessed in the review Studies were included if they assessed morphine-related adverse effects such as nausea, vomiting, sedation, urinary retention, respiratory depression and patient satisfaction. The primary review outcome was nausea and/or vomiting in the post-operative setting. The review also assessed author-defined nausea, vomiting and any emetic event separately. How were decisions on the relevance of primary studies made? The authors did

2005 DARE.

1175. Improving outcomes in urological cancers

al. Changing cigarette habits and bladder cancer risk: a case-control study. J Natl Cancer Inst 1987;78:1119-25. 34 Vineis P, Simonato L. Proportion of lung and bladder cancers in males resulting from occupation: a systematic approach. Arch Environ Health 1991;46:6-15.Bladder cancer in places such as Egypt is often associated with infection with the water-borne parasite Schistosoma (bilharzia). Other causes include previous treatment for cancer – in particular, radiotherapy to the pelvis and some (...) or High-grade tumours, no muscle 23% superficial pT1 G3 invasion; likely to recur and cancer progress Muscle pT2 Tumour in muscular wall of 18% invasive bladder Locally pT3 Tumour in perivesical fat 9% advanced pT4 Tumour in pelvic organs 5% Metastatic M Tumour in distant tissues such as bonesKidney cancer Kidney cancer is less common than bladder or prostate cancer (Table 1) although both incidence and mortality rates are rising steadily in developed countries. The most common form is renal cell

2002 National Institute for Health and Clinical Excellence - Clinical Guidelines

1176. Clinical practice guidelines for the management of women with epithelial ovarian cancer

: • peritoneal washings for cytology; • exploration of all peritoneal surfaces including the diaphragm, bowel serosa and Pouch of Douglas; • biopsy of any suspicious nodules; • infracolic omentectomy, multiple peritoneal biopsies; and • at least adequate sampling of pelvic and para-aortic lymph nodes IV 7,8,974 Clinical practice guidelines for the management of women with epithelial ovarian cancer When these procedures are performed on women with disease apparently con?ned to the pelvis, 28% of women (...) in Australian women 5 2. Risk factors for ovarian cancer 17 3. Screening for ovarian cancer 25 4. Familial aspects of ovarian cancer 31 5. The biology and pathology of ovarian tumours 43 6. Multidisciplinary management of women with ovarian cancer 57 7. Assessment of initial symptoms 65 8. Management of a pelvic mass 71 9. The management of borderline ovarian tumours 77 10. Surgery for invasive ovarian cancer 81 11. Chemotherapy 89 12. Radiation therapy 103 13. Quality of life and psychosocial issues 109 14

2004 Cancer Australia

1177. The use of episiotomy in obstetrical care: a systematic review

that episiotomy does not prevent fecal and urinary incontinence, pelvic floor relaxation, or impaired sexual function, within months to years from childbirth. Project page URL URL for DARE abstract Indexing Status Subject indexing assigned by CRD MeSH Episiotomy; Natural Childbirth; Obstetric Surgical Procedures; Pregnancy Complications Language Published English Country of organisation United States Address for correspondence Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road (...) (i.e., midline or mediolateral), influence maternal postpartum outcomes? 3. Does the repair of the perineal defect (i.e., suture type and repair approach) influence maternal postpartum outcomes? 4. Does episiotomy have a long-term influence on urinary incontinence, fecal incontinence, or pelvic floor defects? 5. Does episiotomy or incision type, or both, influence future sexual function? Authors' conclusions Fair to good evidence suggests immediate maternal outcomes from routine episiotomy

2005 Health Technology Assessment (HTA) Database.

1179. Prevention of Constipation in the Older Adult Population

or twice a day; or 30-60 minutes daily or 3 to 5 times per week). Ambulating at least 50 feet twice a day is recommended for individuals with limited mobility. 10.2 For persons unable to walk or who are restricted to bed, exercises such as IV pelvic tilt, low trunk rotation and single leg lifts are recommended. 11.0 Evaluate client response and the need for ongoing interventions, through the IV use of a bowel record that shows frequency, character and amount of bowel movement pattern, episodes

2005 Registered Nurses' Association of Ontario

1180. Nursing Management of Hypertension

or the failure of other factors to compensate for these malfunctioning mechanisms (Woods, Motzer & Bridges, 2005). Systolic Pressure: Systolic pressure represents the pressure when the heart contracts and forces blood into the blood vessels. This is the higher of the two numbers and is usually expressed first (HSFO, 2005a). Diastolic Pressure: Diastolic pressure represents the pressure when the heart is relaxed. This is the lower of the two numbers and is usually expressed second (HSFO, 2005a). Clinical

2005 Registered Nurses' Association of Ontario

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