Pine tannin foams without formaldehyde showed lower mechanical strength and more elastic behaviour. (C) 2012 Elsevier B.V. All rights reserved.”
“Background and Purpose: Lithotripsy is an established method to fragment kidney stones that can be performed without general anesthesia in the outpatient setting. Discomfort and/or noise,
however, may deter some patients. It has been demonstrated that audiovisual distraction (AV) can reduce sedoanalgesic requirements and improve patient satisfaction in nonurologic settings, but to our knowledge, this has not been investigated Milciclib purchase with lithotripsy. This randomized controlled trial was designed to test the hypothesis that AV distraction can reduce perceived pain during lithotripsy.
Patients and Methods: All patients in the study received identical analgesia before a complete session of lithotripsy on a fixed-site Storz Modulith SLX F2 lithotripter. Patients were randomized to two groups: One group (n = 61) received AV distraction via a wall-mounted 32 ” (82 cm) television with wireless headphones; the other group (n = 57) received no AV distraction. The mean intensity of treatment was comparable in both groups. Patients used a visual analogue scale (0-10) to record independent pain and distress scores and a nonverbal pain score was documented by the radiographer during the procedure (0-4).
Results: In the group that received AV distraction,
all measures of pain perception were statistically lower. The patient-reported pain score was reduced from a mean of 6.1 to 2.4 (P < 0.0001), and the distress score was reduced from a click here mean of 4.4 to 1.0 (P = 0.0001). The mean nonverbal score recorded by the radiographer was reduced from 1.5 to 0.5 (< 0.0001).
Conclusions: AV distraction significantly lowered patients’ reported pain and distress scores. This correlated with the nonverbal scores reported by the radiographer. We conclude that AV distraction is a simple method of improving acceptance Vorinostat molecular weight of lithotripsy and optimizing
“BACKGROUND: Primary B-cell lymphomas of the cervix are rare entities and can present with hydronephrosis.
CASE: An 82-year-old woman with a history of chronic kidney disease presented with fever, altered mental status, and abdominal pain with bilateral hydronephrosis. Despite stent placement and antibiotic therapy, the patient’s condition worsened. Pelvic examination and biopsies were then performed, and a B-cell lymphoma of the cervix causing hydronephrosis was diagnosed. The patient’s family declined further treatment, and the patient died 2 weeks later.
CONCLUSION: Gynecologic examination and suspicion for pelvic malignancies are essential in the evaluation of patients presenting with hydronephrosis. Although squamous cell carcinoma is the most common type of malignancy associated with this presentation, malignancies of other cell lines, including lymphoma, should be considered. (Obstet Gynecol 2011; 117: 444-6) DOI: 10.1097/AOG.