« Treatment. Recommendations. Urinary incontinence is defined as involuntary loss of urine of sufficient severity to be a health and/or social problem. ...» Document abstract
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medical studies
presentation
date published
17/07/2007
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level : General public
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Urinary incontinence is defined as involuntary loss of urine of sufficient severity to be a health and/or social problem. Although it is commonly hidden and not discussed with health professionals, urinary incontinence is a prevalent, morbid, and expensive condition.
Half of young and middle-aged women experience urinary incontinence, often in association with childbirth. Urinary incontinence is a common manifestation of benign and malignant prostate enlargement in middle-aged and older men.
- Definition and Scope of the Problem
- Pathogenesis
- Clinical Manifestations
- Diagnosis
- Treatment
- Recommendations
« Paravaginal suspension procedures for stress urinary incontinence entail lateral reapproximation of the vaginal wall to this tendinous arc. ...» Document abstract
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medical studies
research papers
date published
26/11/2007
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level : Advanced
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The pelvic bones are the sacrum (the termination of the axial skeleton) and the two innominate bones. The latter are formed by the fusion of the iliac, ischial, and pubic ossification centers at the acetabulum. The ischium and pubis also meet below, in the center of the inferior ramus, to form the obturator foramen. The weight of the upper body is transmitted from the axial skeleton to the innominate bones and lower extremities through the strong sacroiliac (SI) joints. As a whole, the pelvis is divided into a bowl-shaped false pelvis, formed by the iliac fossae and largely in contact with intraperitoneal contents, and the circular true pelvis wherein lie the urogenital organs. At the pelvic inlet, the true and false pelves are separated by the arcuate line, which extends from the sacral promontory to the pectineal line of the pubis. The lumbar lordosis that accompanies erect posture tilts the axis of the pelvic inlet so that it parallels the ground; the pelvic inlet faces anteriorly, and the inferior ischiopubic rami lie horizontal. When approaching the pelvis through a low midline incision, the surgeon gazes directly into the true pelvis.
- Bony Pelvis
- Anterior Abdominal Wall
- Skin and Subcutaneous Fasciae
- Abdominal Musculature
- Inguinal Canal
- Internal Surface of the Anterior Abdominal Wall
- Soft Tissues of the Pelvis
- Pelvic Musculature
- Pelvic Fasciae
- Fasciae of the Perineum and the Perineal Body
« of related conditions, such as delirium, falls, incontinence, depression, or patients, including delirium, postural hypotension, urinary retention, constipation ...» Document abstract
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medical studies
research papers
date published
13/11/2007
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level : Advanced
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The process of aging produces important physiologic changes in the central nervous system, including neuroanatomic, neurotransmitter, and neurophysiologic changes. These processes result in age-related symptoms and manifestations for many older persons. These physiologic changes develop at dramatically variable rates in different older persons, however, the decline being modified by factors such as diet, environment, lifestyle, genetic predisposition, disability, disease, and side effects of drugs. These changes can result in the common age-related symptoms of benign senescence, slowed reaction time, postural hypotension, vertigo or giddiness, presbyopia, presbycusis, stiffened gait, and sleep difficulties. In the absence of disease, these physiologic changes usually result in relatively modest symptoms and little restriction in activities of daily living. These changes decrease physiologic reserve, however, and increase the susceptibility to challenges posed by disease-related, pharmacologic, and environmental stressors.
- Overview
- MENTAL STATUS EXAMINATION
- FUNCTIONAL ASSESSMENT
- Psychoactive Effects of Drugs in Older Patients
- ADVERSE DRUG EVENTS IN THE ELDERLY.
- DRUGS WITH PSYCHOACTIVE EFFECTS.
- PRINCIPLES OF DRUG THERAPY IN THE ELDERLY.
- Discussion
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