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Pelvic Relaxation

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121. Functional imaging of the pelvic floor. Full Text available with Trip Pro

diagnostic tool that can alter management decisions from surgical to medical and vice versa in many cases. Functional radiography provides the maximum stress to the pelvic floor, resulting in levator ani relaxation accompanied by rectal emptying-which is needed to diagnose defecatory disorders. It also provides organ-specific quantificative information about female pelvic organ prolapse-information that usually can only be inferred by means of physical examination. The application of functional (...) Functional imaging of the pelvic floor. The clinical treatment of patients with anorectal and pelvic floor dysfunction is often difficult. Dynamic cystocolpoproctography (DCP) has evolved from a method of evaluating the anorectum for functional disorders to its current status as a functional method of evaluating the global pelvic floor for defecatory disorders and pelvic organ prolapse. It has both high observer accuracy and a high yield of positive diagnoses. Clinicians find it a useful

2011 Radiology

122. 10-kHz High-Frequency Spinal Cord Stimulation for Adults With Chronic Noncancer Pain

, and pain secondary to peripheral vascular disease). 16 Because the pain pathways differ depending on the cause of the chronic pain, it is not generally known which patients with chronic pain would respond more favourably to SCS. Current Treatment Options Nonsurgical interventions are used to manage chronic pain, including physical and behavioural interventions (e.g., mindfulness-based stress reduction) and medications (called medical management; e.g., anti-inflammatories, muscle relaxants

2020 Health Quality Ontario

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 Full Text available with Trip Pro

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

2020 European Society of Human Reproduction and Embryology

125. Clinical care of severe acute respiratory infections – Tool kit

. ? May need escharotomy Signs of ail chest (section of chest wall moving in opposite direction with breathing) Give oxygen. ? May need advanced airway management and assisted ventilation Signs of haemothorax (decreased breath sounds on one side, dull sounds with percussion) Give oxygen, IV uids. ? Will need chest tube Circulation C Signs of shock (capillary re ll >3 sec, hypotension, tachycardia) Give oxygen, IV uids, control external bleeding, splint femur/pelvis as indicated. Uncontrolled

2020 WHO Coronavirus disease (COVID-19) Pandemic

126. 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

127. Pelvic girdle pain

Pelvic girdle pain Pelvic girdle pain - Wikipedia Pelvic girdle pain From Wikipedia, the free encyclopedia Pelvic girdle pain OB/GYN Pelvic girdle pain (abbreviated PGP ) is a that causes , instability and limitation of mobility and functioning in any of the three pelvic joints. PGP has a long history of recognition, mentioned by and later described in medical literature by Snelling. The affection appears to consist of relaxation of the pelvic articulations, becoming apparent suddenly after (...) Relaxation Symptom Giving Pelvic Girdle Relaxation Posterior Pelvic Pain Pelvic Arthropathy Inferior Pubic Shear/ Superior Pubic Shear /Symphyseal Shear Symphysiolysis (usually postpartum) One-sided Sacroiliac Syndrome /Double Sided Sacroiliac Syndrome "The classification between hormonal and mechanical pelvic girdle instability is no longer used. For treatment and/or prognosis it makes no difference whether the complaints started during pregnancy or after childbirth." Mens (2005) Signs and symptoms

2012 Wikipedia

128. Chronic prostatitis/chronic pelvic pain syndrome Full Text available with Trip Pro

relaxation" to prevent chronic tensing of the pelvic musculature. Medication [ ] A number of medications can be used. or appear to be the most effective, with such as providing lesser benefit. Treatment with antibiotics is controversial. Some have found benefits in symptoms, while others have questioned the utility of a trial of antibiotics. Antibiotics are known to have anti-inflammatory properties and this has been suggested as an explanation for their partial efficacy in treating CPPS. Antibiotics (...) Chronic prostatitis/chronic pelvic pain syndrome Chronic prostatitis/chronic pelvic pain syndrome - Wikipedia Chronic prostatitis/chronic pelvic pain syndrome From Wikipedia, the free encyclopedia This article is about one kind of chronic pelvic pain in males. For females, see . Chronic nonbacterial prostatitis Other names Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), prostatodynia, painful prostate Causes Unknown , , , Frequency ~4% Chronic nonbacterial prostatitis , also known

2012 Wikipedia

129. 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

2020 Belgian Health Care Knowledge Centre

131. Sexual Misconduct

used gestures and language may trigger memories of past physical or sexual abuse and may cause discomfort or fear during a clinical encounter. Because traumaoften involvesanexperience ofpowerlessness, itis important to refrain from behaviors that a patient may perceive as overpowering or threatening (30–33). Com- mon triggers include leaning over a patient during a dis- cussion or pelvic examination, using commands such as “try to relax” before an internal examination, and expos- ing or touching

2020 American College of Obstetricians and Gynecologists

132. Surgical mesh repair of primary inguinal hernia in men

without surgical mesh (non- mesh/suture repair). In particular, we were asked to consider safety and patient aspects relating to surgical mesh repair of inguinal hernias. Why is this important? Surgical mesh has become an important topic in the last few years following women’s experiences of severe, chronic pain after surgical mesh was used to treat pelvic organ prolapse. In Scotland, inguinal hernia repair using surgical mesh is a common procedure accounting for around 5,000 surgeries per year (...) ). The cumulative cost of mesh is lower with a mean saving of £134 per patient, 95% CI £81 to £192. This reduction in costs is because the costs of treating additional recurrent hernias after open non-mesh repair more than outweigh the higher initial material cost of open mesh repair. The cost saving remains robust when the assumption that all recurrences result in a repeat procedure is relaxed to as low as 5% of those having a recurrence. Over the same 5-year time horizon, laparoscopic mesh repair compared

2020 SHTG Advice Statements

134. 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

135. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

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

2020 ERAS Society

136. 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

138. Covid-19: Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum

Headache o Decreased fetal movements o Uterine contractions, vaginal bleeding, amniotic fluid leakage o Back or pelvic pain o Chest pain o Muscle weakness o Calf pain or swelling or sudden swelling of ankles, hands and/or face • Refer to Appendix B for a guide to target heart rate ranges by age and BMI Queensland Clinical Guideline: Gestational diabetes mellitus Refer to online version, destroy printed copies after use Page 23 of 38 4 Pharmacological therapy Before commencing pharmacological glycaemic

2020 Queensland Health

140. Noninvasive Nonpharmacological Treatment for Chronic Pain

control over the short term; and function versus attention control in the long term (1 trial) (SOE: low). • Psychological Therapies: No difference was found in function or pain in the short term or intermediate term from one study comparing relaxation training and no intervention (SOE: low for all). ES-8 • Physical Modalities: Low-level laser therapy was associated with a moderate improvement in short-term function (2 trials) and pain (3 trials) compared with sham (SOE: moderate). • Manual Therapies (...) between groups for the following interventions compared with exercise: o Physical therapist (PT)-led relaxation training. Function or pain at short or intermediate term (1 trial, SOE: low for all). o Massage. Pain at intermediate term (1 trial, SOE: low). o Basic body awareness therapy. Function at short term (1 trial, SOE: low). Key Question 3: Osteoarthritis Pain Interventions Compared With Usual Care, Waitlist, No Treatment, Attention Control, or Sham Knee Osteoarthritis Pain • Exercise: Exercise

2020 Effective Health Care Program (AHRQ)

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