Laparoscopic lateral suspension for apical vaginal wall prolapse: review article

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Ewelina Malanowska ◽

Andrzej Starczewski ◽

Włodzimierz Bielewicz ◽

Matteo Balzarro

Keyword(s):

Quality Of Life ◽

Overactive Bladder ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Wall Defect ◽

Pop Surgery ◽

Laparoscopic Lateral Suspension

Background. Pelvic organ prolapses (POP) and overactive bladder (OAB) may coexist and both negatively impact quality of life in women. The correlation between POP and OAB remains unclear, but these patients may have the OAB resolution after the surgical treatment of POP. Aim of our study was to assess the anatomical results and the effect on OAB symptoms in women who underwent laparoscopic lateral suspension for POP. Materials and Methods. This prospective study included all women with apical POP who underwent surgical repair with laparoscopic uterine lateral suspension from January 2016 to December 2017. The baseline and the 1-year follow-up included post-void residual measurement, urinalysis, vaginal examination, OAB symptoms evaluation, and administration of questionnaires (PFDI-20, UDI 6). Results. 64 women underwent laparoscopic lateral suspension for uterine prolapse and 78.1% had concomitant anterior vaginal wall defect. At 1-year follow-up the anatomic success rates were 84.4% for the apical and 76.2% for the anterior compartment. The comparison between OAB symptoms before and after the surgical procedure showed the resolution of OAB in 76% of the women, while de novo OAB was present in 2.6%. With the questionnaires 95.3% (61/64) of our patients were satisfied after the POP repair. We documented a trend in ameliorating of OAB regardless of the POP-Q stage. However, the Pearson test showed this correlation as statistically significant only in women with anterior vaginal wall defect stage III and apical stage II. No patient had vaginal exposure of the polypropylene mesh. Conclusion. Our data show how laparoscopic lateral suspension is an effective procedure for apical and anterior vaginal wall defects. This study provides further evidence for the concept that OAB in women with POP >II stage improves after a successful POP surgery. These women may benefit from a resolution of OAB and POP symptoms with the improvement of patient’s quality of life.

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Desiderata in connection by the calibration of the MK-system

Symposium - International Astronomical Union ◽

10.1017/s0074180900053699 ◽

1966 ◽

Vol 24 ◽

pp. 348-349

Author(s):

Th. Schmidt-Kaler

Keyword(s):

Absolute Magnitude ◽

Review Article ◽

Stellar Systems ◽

Astronomical Data ◽

Intrinsic Colour

This is only an informal remark about some difficulties I am worrying about.I have tried to recalibrate the MK system in terms of intrinsic colour (B–V)0and absolute magnitudeMv. The procedures used have been described in a review article by Voigt (Mitt. Astr. Ges.1963, p. 25–35), and the results for stars of the luminosity classes Ia-O,I and II have been given also in Blaauw's article on the calibration of luminosity criteria in vol. III (Basic Astronomical Data, p. 401) ofStars and Stellar Systems.

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Electron-deficient boron-based catalysts for C–H bond functionalisation

Chemical Society Reviews ◽

10.1039/d0cs00380h ◽

2021 ◽

Author(s):

Yuanhong Ma ◽

Shao-Jie Lou ◽

Zhaomin Hou

Keyword(s):

Review Article ◽

Current Status ◽

Comprehensive Overview

This review article provides a comprehensive overview to recognise the current status of electron-deficient boron-based catalysis in C–H functionalisations.

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Amino-functional polyethers: versatile, stimuli-responsive polymers

Polymer Chemistry ◽

10.1039/d0py00466a ◽

2020 ◽

Vol 11 (24) ◽

pp. 3940-3950 ◽

Cited By ~ 2

Author(s):

Patrick Verkoyen ◽

Holger Frey

Keyword(s):

Ring Opening ◽

Review Article ◽

Stimuli Responsive ◽

New Class ◽

Stimuli Responsive Polymers ◽

Responsive Polymers

Amino-functional polyethers have emerged as a new class of “smart”, i.e. pH- and thermoresponsive materials. This review article summarizes the synthesis and applications of these materials, obtained from ring-opening of suitable epoxide monomers.

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Developing Evidence-Based Assessment to Prevent Over- or Underidentification of Disorders for New Language Learners

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-19-00115 ◽

2020 ◽

Vol 5 (4) ◽

pp. 1026-1038

Author(s):

Sandra Levey ◽

Li-Rong Lilly Cheng ◽

Diana Almodovar

Keyword(s):

Language Learners ◽

Grade Level ◽

Reading Skills ◽

Language Disorder ◽

Academic Development ◽

Review Article ◽

Evidence Based ◽

Clinical Knowledge ◽

Language And Literacy ◽

Support Evidence

Purpose The purpose of this review article is to present certain linguistic domains to consider in the assessment of children learning a new language. Speech-language pathologists frequently face difficulty when determining if a bilingual or multilingual child possesses a true speech or language disorder. Given the increased number of new language learners across the world, clinicians must understand differences versus disorders to prevent underidentification or overidentification of a disorder. Conclusions Early identification of a true disorder has been shown to prevent language and literacy difficulties, given that children are able to achieve grade-level reading skills when given intervention. Clinical knowledge and skills are strongly required so that children receive evidence-based assessment to support their academic development. Learning Goal Readers will gain an understanding of the factors that support evidence-based assessment of bilingual and multilingual language learners.

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Treatment Considerations for Adolescents Who Exhibit Cognitive/Communication Problems: A Neuroscience Perspective

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00071 ◽

2020 ◽

Vol 5 (6) ◽

pp. 1767-1775

Author(s):

Martha S. Burns

Keyword(s):

Social Communication ◽

Transition Period ◽

Clinical Intervention ◽

Review Article ◽

Sensitive Period ◽

Clinical Implications ◽

Evidence Based ◽

Communication Problems ◽

Treatment Considerations ◽

Behavioral Growth

Purpose Adolescence is a period of substantial neurophysiological and behavioral growth, representing a second sensitive period of brain development. It is a psychological and social transition period between childhood and adulthood with many beneficial changes occurring, especially with respect to potential responsiveness to clinical intervention. However, adolescent behavioral complexities introduce clinical challenges as well. The purpose of this review article is to review the current neuroimaging research on neurophysiological changes observed during adolescence and the cognitive and social behavioral counterparts, with specific attention to the clinical implications. The review article will then summarize currently available intervention tools that can be utilized by speech-language pathologists working with this population. It will conclude with available evidence-based social-communication approaches that may be applicable as well as available evidence-based supplemental technological cognitive interventions that may be useful in working with adolescents who exhibit language and communication issues. Conclusion As a transition period between childhood and adulthood, adolescence represents a second sensitive period during which there is opportunity for clinically derived beneficial cognitive and communication growth.

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