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Psychosocial Aspects of Diabetes
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
Additional symptoms of depression include psychomotor agitation or retardation, and suicidal thoughts. Other symptoms of diabetes include blurred vision, dehydration, increased thirst, and frequent urination.
Bladder Pain Syndrome/Interstitial Cystitis
Published in Linda Cardozo, Staskin David, Textbook of Female Urology and Urogynecology - Two-Volume Set, 2017
Amina Douglas, Matthew Parsons, Philip Toozs-Hobson
O'LeAry/SAnt Voiding And pAin indices InterstitiAl cystitis symptom index 1. 0. 1. 2. 3. 4. 5. During the pAst month, how often hAve you felt the strong need to urinAte wiht little or no wArning? ______ not At All ______ less thAn 1 time in 5 ______ less thAn hAlf the time ______ About hAlf the time ______ more thAn hAlf the time ______ Almonst AlwAys InterstitiAl cystitis problem index During the pAst month, how much hAs eAch of the following been A problem for you? 1. 0. 1. 2. 3. 4. 2. 0. 1. 2. 3. 4. Frequent urinAtion during the dAy? ______ no problem ______ very smAll problem ______ smAll problem ______ medium problem ______ big problem Getting up At nigth to urinAte? ______ no problem ______ very smAll problem ______ smAll problem ______ medium problem ______ big problem
Musculoskeletal and anthropometric factors associated with urinary incontinence in pregnancy
Published in Physiotherapy Theory and Practice, 2022
Emine Baran, Türkan Akbayrak, Serap Özgül, Gülbala Nakip, Gamze Nalan Çinar, Esra Üzelpasacı, Ceren Gursen, Kemal Beksaç, Emine Aydin, Murat Çağan, Mehmet Sinan Beksaç
It is known that the prevalence of UI increases progressively with hormonal changes during pregnancy and increased load on pelvic floor structures (Balik et al., 2016). Endocrine and metabolic changes with fetal growth and enlargement of uteroplacental structures may cause lower urinary tract symptoms such as UI, frequent urination, and sudden urge (Wijma et al., 2001). Previous studies have reported that age, BMI, and parity are a risk factor for UI in pregnancy. However, it is stated that the contribution of these factors to pregnancy UI is lower in pregnant women than in non-pregnant women because pregnancy is reported to be a more important risk factor for UI due to changes in pregnancy (Hvidman, Foldspang, Mommsen, and Nielsen, 2002; Wesnes, Rortveit, Bø, and Hunskaar, 2007). Pregnancy may increase the risk of UI, but further prognostic studies are warranted in this regard.
Antimicrobial pharmacokinetics and preclinical in vitro models to support optimized treatment approaches for uncomplicated lower urinary tract infections
Published in Expert Review of Anti-infective Therapy, 2021
Iain J. Abbott, Jason A. Roberts, Joseph Meletiadis, Anton Y. Peleg
Natural protection from UTI relies upon host-factors of the bladder, innate immunity, urine composition and urodynamics. In 1961, Cox and Hinman [18] published a series of in vitro and induced human bacteriuria experiments, demonstrating the bladder’s defense to infection. Increased fluid intake dilutes bacteria in the bladder and high-volume frequent urination can assist bacterial clearance. Under these dynamics, bacterial growth rate in urine is a critical factor. Urine, however, is depleted of nutrients and the low pH, high nitrates and high urea make it naturally antimicrobial. Moreover, it is an incredibly complex biological waste product, containing over 2000 different metabolites/chemicals [19]. Specific alterations in urinary composition in different patient populations (e.g. trauma patients, elderly, diabetes) can promote uropathogen growth [20–22]. Urinary antimicrobial peptides are additional defenses to bacterial infection [23,24].
Hip exercises improve intravaginal squeeze pressure in older women
Published in Physiotherapy Theory and Practice, 2020
Lori J. Tuttle, Taylor Autry, Caitlin Kemp, Monique Lassaga-Bishop, Michaela Mettenleiter, Haley Shetter, Janelle Zukowski
The pelvic floor muscles (PFM) are partly responsible for controlling urinary and bowel functions of both males and females. The PFM consist of pubovisceral, puborectalis, and iliococcygeus, which originate on the pubis and the tendinous arch of the levator ani and insert on the perineal body, vaginal wall, between the internal and external anal sphincter, behind the rectum and in the iliococcygeal raphe (Kearney, Sawhney, and Delancey, 2004). These muscles work together to support internal organs and assist in maintaining posture and urinary and fecal continence (Raizada and Mittal, 2008; Rocca Rossetti, 2016). Pelvic Floor Dysfunction (PFD) is most often seen in postmenopausal women but affects both sexes and people of all ages (Milsom et al., 2014; Pierce, Perry, Chiarelli, and Gallagher, 2016; Shamliyan, Kane, Wyman, and Wilt, 2008). Nearly 26–30% of women report experiencing symptoms of PFD at some point in their lifetime, demonstrating its high prevalence in society (Nygaard et al., 2008; Wu et al., 2014). Symptoms may include: urinary and/or fecal incontinence (e.g. stress, urge, or mixed incontinence); frequent urination; and pelvic pain during urination or intercourse. A myriad of factors has been implicated in the development of PFD including, but not limited to: vaginal childbirth; constipation; diabetes; aging; injury; pelvic trauma; and obesity (Delancey et al., 2008; Pierce, Perry, Chiarelli, and Gallagher, 2016; Tinelli et al., 2010).