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Pelvic Relaxation

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121. MAPP Investigation of Pelvic Floor-Brain Neurobiologic Axis in IC/IBS and IBS

MAPP Investigation of Pelvic Floor-Brain Neurobiologic Axis in IC/IBS and IBS MAPP Investigation of Pelvic Floor-Brain Neurobiologic Axis in IC/IBS and IBS - Full Text View - Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . MAPP Investigation of Pelvic Floor-Brain Neurobiologic Axis in IC/IBS and IBS The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. Identifier: NCT01280864 Recruitment Status : Terminated (the study PI left the university of iowa) First Posted : January 21, 2011 Last Update Posted : July 23, 2018 Sponsor: Augusta

2011 Clinical Trials

123. Examining the Effects of Prenatal Education

questions. • For the first question, we identified 10 systematic reviews which found prenatal education on pelvic-floor training, nutrition and physical activity, and identifying true labour all had positive effects for women with low-risk pregnancies, while mixed effects were found for additional prenatal education on breastfeeding. • An additional seven systematic reviews examined outcomes for particular populations of women with high-risk pregnancy and found positive effects from interventions (...) of these reviews summarized in the narrative below are provided in Table 1 with further information available in Appendix A. Effectiveness of prenatal education for women with low-risk pregnancies Ten systematic reviews addressed interventions for women with low-risk pregnancies. Of these, four addressed maternal physical health outcomes. One older medium-quality systematic review found that pelvic- floor training before and after birth helped to reduce incontinence,(3) while the other three systematic reviews

2020 McMaster Health Forum

124. Recommendations for good practice in Ultrasound: Oocyte retrieval

patients, transabdominal US facilitated access when the ovaries were transposed or enlarged above the pelvic brim. Transabdominal-guided oocyte retrieval continues to be used at some centres for rare patients who have ovaries inaccessible by transvaginal US. Nowadays, transvaginal oocyte retrieval is a widely performed procedure, with a low complication rate ( ). In this paper, recommendations for different steps of transvaginal oocyte retrieval will be described. Laparoscopic oocyte retrieval (...) pathologies and cautions during OPU Complications and risks Future developments Training and competence Quality assurance and performance. Some general aspects of the OPU technique are outlined in . Prior to OPU Pelvic US – An US evaluation should be performed before starting an ART treatment: to decide the ovarian stimulation protocol; to determine whether there is any anatomical abnormality or a malposition of the ovaries ( ) and to assess ovarian placement and ovarian/follicular accessibility after

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2020 European Society of Human Reproduction and Embryology

125. Axonics sacral neuromodulation system for overactive bladder and faecal incontinence

echnologies, Inc.) is an implantable SNM therapy for bladder or bowel control in people with urinary retention, symptoms of overactive bladder or chronic faecal incontinence. SNM (also called sacral nerve stimulation) is a treatment that uses electrical impulses to stimulate the sacral nerves, located in the pelvic floor or groin area. The Axonics SNM system includes an implantable neurostimulator, tined lead, programmers for use by the clinician and patient, and an external trial system. A wireless (...) recommends starting treatment with a combination of conservative interventions (including dietary changes, addressing bowel habits, identifying coping strategies and medication) followed by specialist conservative management (such as pelvic floor muscle training, bowel retraining, specialist dietary assessment and management, biofeedback, electrical stimulation and rectal irrigation) if symptoms persist. If faecal incontinence continues after conservative management, specialist assessments should be done

2018 National Institute for Health and Clinical Excellence - Advice

126. Recommendations for good practice in Ultrasound: Oocyte retrieval

instead of general anaesthesia; • decreased risk of intestinal trauma; • it can be easily learned, especially by operators trained in US; • decreased costs for patients; • and quick post-interventional recovery. However, in some patients, transabdominal ultrasound facilitated access when the ovaries were transposed or enlarged above the pelvic brim. Transabdominal-guided oocyte retrieval continues to be used at some centres for rare patients who have ovaries inaccessible by vaginal ultrasound (...) fertilisation IVM In vitro maturation LH Luteinizing hormone OHSS Ovarian hyperstimulation syndrome OPU Oocyte pick-up PACS Picture archiving and communication system PCOS Polycystic ovary syndrome PCSA Patient controlled sedation/analgesia PID Pelvic inflammatory disease RCOG Royal College of Obstetricians and Gynaecologists TVOR Transvaginal oocyte retrieval TV-US Transvaginal ultrasound US Ultrasound VA Verbal anaesthesia WG Working group WHO World Health Organisation Submitted for publication in HROpen

2019 European Society of Human Reproduction and Embryology

127. Guidelines For Professional Ultrasound Practice

2.7.5 Pelvic ultrasound reporting 57 2.7.6 Reporting Examples 57 2.8 ABDOMINAL ULTRASOUND EXAMINATIONS 59 2.8.1 General principles 59 2.8.2 Ultrasound examination of the liver 63 2.8.3 Ultrasound examination of the gallbladder and biliary tree 65 2.8.4 Transabdominal ultrasound examination of the pancreas 66 2.8.5 Ultrasound examination of the spleen 68 2.8.6 Ultrasound examination of the abdominal aorta 71 2.8.7 Ultrasound examination of the bowel 72 2.9 URO-GENITAL SYSTEM INCLUDING TESTES

2019 British Medical Ultrasound Society

128. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)

of other elements, such as relaxation techniques and educational sessions, were inconsistent. The median duration was 4 weeks (range 1–10 weeks) with a frequency of 5 sessions per week (range 2–14 weeks) of moderate to high intensity, generally tailored to the patient’s tolerance. Studies report an improvement in peak oxygen consumption or in functional capacity (measured with the 6-min walk test) from baseline to postintervention [ ]. Lung function is also enhanced after prehabilitation compared

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2020 ERAS Society

129. Chronic pain syndromes

, and chronic headache syndromes. One in 3 patients over the age of 65 years is affected by chronic pain, often due to arthritis, osteoporosis with fractures and/or lumbar spinal stenosis. These conditions are treatable and should not be considered part of the normal ageing process. Untreated chronic pain in geriatric patients can result in depression, poor quality of life, and loss of independence. Some treatments, such as stretching exercises, relaxation techniques, antidepressants, and antiepileptic (...) . Chronic pain occurs due to persistent activation of neural pain pathways and muscle spasm. Chronic pain is discussed here as a syndrome and includes non-malignant conditions without localised or regional causes (such as abdominal pain or pelvic pain). [Figure caption and citation for the preceding image starts]: Acute pain occurs with trauma or illness, decreasing during healing and resolving within 3 months. Chronic pain persists after healing is completed, due to continued activation of neural pain

2018 BMJ Best Practice

130. Non-clinical interventions for reducing unnecessary caesarean section. (PubMed)

for couples may reduce caesarean section (RR 0.59, 95% CI 0.37 to 0.94) and may increase spontaneous vaginal birth (RR 2.13, 95% CI 1.09 to 4.16). We judged this one study with 60 participants to have low-certainty evidence for the outcomes above.Nurse-led applied relaxation training programmes (RR 0.22, 95% CI 0.11 to 0.43; 104 participants, low-certainty evidence) and psychosocial couple-based prevention programmes (RR 0.53, 95% CI 0.32 to 0.90; 147 participants, low-certainty evidence) may reduce (...) the certainty of evidence to be low.We studied the following interventions, and they either made little or no difference to caesarean section rates or had uncertain effects.Moderate-certainty evidence suggests little or no difference in caesarean section rates between usual care and: antenatal education programmes for physiologic childbirth; antenatal education on natural childbirth preparation with training in breathing and relaxation techniques; computer-based decision aids; individualised prenatal

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2018 Cochrane

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

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

132. Antenatal and Postnatal Analgesia

Antenatal analgesia Many women experience pain during pregnancy including headache, lower back pain and pelvic pain. Prior to giving advice regarding analgesic options pain should be investigated as appropriate to exclude serious causes. Non‐pharmacological interventions should be considered first line; for example, adequate rest, hot and cold compresses, massage, acupuncture, physiotherapy, relaxation and exercise. Some women find aromatherapy soothing and very useful as an aid to relaxation, so it can

2018 Royal College of Obstetricians and Gynaecologists

133. Hysterectomy

. Leiomyomas: For symptomatic fibroids, hysterectomy providesa permanent solution to menorrhagia and the pressure symptoms related to an enlarged uterus (I-A). 2. Abnormal uterine bleeding: Endometrial lesions must be excluded and medical alternatives should be considered as a first line of therapy (III-B). 3. Endometriosis: Hysterectomy is often indicated in the presence of severe symptoms with failure of other treatments and when fertility is no longer desired (I-B). 4. Pelvic relaxation: A surgical (...) solution usually includes vaginal hysterectomy, but must include pelvic supporting procedures (II-B). 5. Pelvic pain: A multidisciplinary approach is recommended, as there is little evidence that hysterectomy will cure chronic pelvic pain. When the pain is confined to dysmenorrhea or associated with significant pelvic disease, hysterectomy may offer relief (II-C). Preinvasive Disease 1. Hysterectomy is usually indicated for endometrial hyperplasia with atypia (I-A). 2. Cervical intraepithelial

2018 Society of Obstetricians and Gynaecologists of Canada

134. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

or spinal cord tumour, cauda equina syndrome, transverse myelitis, multisystem atrophy, pelvic nerve injury, and diabetes. It is well-described that neurological disorders can lead to urological complications, including: urinary incontinence, urinary tract infections (UTIs), urolithiasis, sepsis, ureteric obstruction, vesicoureteric reflux (VUR), and renal failure. 2 Due to the potential morbidity and even mortality, initial investigation, ongoing management, and surveillance is warranted (...) , renal function) Review of relevant systems Bowel function Sexual function Coexisting non-NLUTD dysfunction (prostatic enlargement, stress incontinence) Gross hematuria Gynecological/pregnancy history Genitourinary/pelvic pain Motor abilities (hand function, ability to transfer) Cognitive function Support systems/caregivers CIC: clean intermittent catheterization; MS: multiple sclerosis; NLUTD: neurogenic lower urinary tract dysfunction; SCI: spinal cord injury; UTI: urinary tract infection.CUAJ

2019 Canadian Urological Association

135. Peramivir (Alpivab) - Influenza, Human

study: renal tubular and pelvic mineralization, tubular dilatation, epithelial renal hyperplasia) and juvenile rats (drug-related minor renal cortical tubular changes), species that do not generate acyl glucuronide. The applicant has discussed this topic further, with a requirement for Assessment report EMA/CHMP/148367/2018 Page 23/108 updating sections 4.8 and 5.3 focus on the potential for renal toxicity and the possible clinical relevance. As renal necrosis has been seen in rabbits, reports

2018 European Medicines Agency - EPARs

137. Menopause

, usually for carcinogenic illness (pelvic radiation or chemotherapy). 1. The menopauseMENOPAUSE 6 One of the questions most commonly asked by women in their late forties is: “Is it the change? Can I have a blood test?” In practice, it is rarely useful to perform blood tests as hormone levels fluctuate widely over a very short time span, making the results confusing and unreliable. Blood tests (for FSH) are usually only indicated when a premature menopause is suspected in a younger woman, or to rule out (...) and caffeine and avoiding or modifying a known trigger may help; wearing natural fabrics that can ‘breathe’ and using lightweight cotton bedding may also help • exercise can help general wellbeing and mood as well as improving stamina and fitness • relaxation or stress reduction techniques will improve coping strategies • cognitive behavioral therapies, including counseling may help to deal with life events that are causing anxiety • vaginal symptoms may be relieved by regular use of vaginal moisturisers

2018 Royal College of Nursing

138. Optimisation of RIZIV – INAMI lump sums for incontinence

of conflict of interest to the main topic of this report’ Membership of a stakeholder group on which the results of this report could have an impact: Veerle Decalf (Urobel), Anja Declercq (fellow of InterRAI, research about BelRAI), Ronny Pieters (Urobel) Fees or other compensation for writing a publication or participating in its development: Els Bakker (courses pelvic re-education) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Veerle Decalf (...) -profit organisations), Ronny Pieters (College Ghent symposium fee Coloplast, College Odisee) Presidency or accountable function within an institution, association, department or other entity on which the results of this report could have an impact: Els Bakker (president BAPRA – Belgian Abdominal Pelvic Reeducation Association), Anja Declercq (board member BelRAI), Ronny Pieters (Urobel) Layout: Ine Verhulst, Joyce Grijseels Disclaimer: • The external experts were consulted about a (preliminary

2019 Belgian Health Care Knowledge Centre

139. Diazepam

Diazepam is a long-acting benzodiazepine used as a hypnotic, anxiolytic, anticonvulsant and muscle relaxant. Its actions are mediated (...) by enhancement of the activity of gamma-aminobutyric acid (GABA), a major inhibitory neurotransmitter in the brain. Data on the risk of congenital malformation following use of diazepam in pregnancy are highly confounded by the research techniques employed in the majority of the available studies. Evidence is therefore conflicting; with some older studies (...) of orally administered diazepam . The evaluation of the overall sedative effects of the diazepam and nitrous oxide together were better than the sedative effects of diazepam alone. Best Evidence (you may view more info by clicking 2013 20. Intra-vaginal diazepam for high-tone pelvic floor dysfunction: a randomized placebo-controlled trial. 23681047 2013 10 21 2014 06 23 2013 10 21 1433-3023 24 11 2013 Nov International urogynecology journal Int Urogynecol J Intra-vaginal diazepam for high-tone pelvic

2018 Trip Latest and Greatest

140. Constipation

. 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 (...) 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 (...) in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button 2018 10. 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

2018 Trip Latest and Greatest

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