Preoperative pudendal block with liposomal and plain bupivacaine reduces pain associated with posterior colporrhaphy: a double-blinded, randomized controlled trial.

Background: Pelvic reconstructive surgery may cause significant postoperative pain, especially with posterior colporrhaphy, contributing to a longer hospital stay and increased pain medication utilization. Regional blocks are being increasingly utilized in gynecologic surgery to improve postoperative pain and decrease opioid usage, yet preoperative pudendal blocks have not been used routinely during posterior colporrhaphy.

Objective: This study aimed to compare the effect of preoperative regional pudendal nerve block using a combination of 1.

Human Papillomavirus Vaccination Rates of Military and Civilian Male Respondents to the Behavioral Risk Factors Surveillance System Between 2013 and 2015.

Objective: To evaluate human papillomavirus (HPV) vaccination rates among men in the USA and to compare vaccination rates among men who had served in the military to those reporting no previous military service.

Methods: We performed a cross-sectional analysis using Behavioral Risk Factor Surveillance System (BRFSS) data from the 2013 to 2015 to analyze HPV vaccination rates for vaccine eligible adult men. The BRFSS is a multistage, cross-sectional telephone survey conducted nationally by state health departments.

Relative Effects of Age, Race, and Stage on Mortality in Gestational Choriocarcinoma.

Objective: Gestational choriocarcinoma is a malignant form of gestational trophoblastic disease that usually arises after a molar pregnancy, but may follow any antecedent pregnancy. Investigations in this rare cancer are limited. We evaluated the prognostic effects of age, race, and stage in choriocarcinomas diagnosed for 4 decades.

Metabolic risk factors and mechanisms of disease in epithelial ovarian cancer: A review.

Objective: Epithelial ovarian cancer continues to be the deadliest gynecologic malignancy. Patients with both diabetes mellitus and obesity have poorer outcomes, yet research correlating metabolic abnormalities, such as metabolic syndrome, to ovarian cancer risk and outcomes is lacking. This article reviews the literature regarding metabolic derangements and their relationship to epithelial ovarian cancer, with a focus on potential mechanisms behind these associations.

Flexor tendon repair with a knotless, bidirectional barbed suture: an in vivo biomechanical analysis.

Purpose: To compare and analyze biomechanical properties and histological characteristics of flexor tendons either repaired by a 4-strand modified Kessler technique or using barbed suture with a knotless repair technique in an in vivo model.

Methods: A total of 25 chickens underwent surgical transection of the flexor digitorum profundus tendon followed by either a 4-strand Kessler repair or a knotless repair with barbed suture. Chickens were randomly assigned to 1 of 3 groups with various postoperative times to death.

Essence of Care--a key approach in improving patient care.

This project work is an illustration of how nurses can take a leading role in championing patient care. A small group of mental health nurses in a London Trust embarked on 'getting the fundamentals right' in their quest to improve care given to patients. A working group was formed to take this idea forward: The Essence of Care Steering Group.

Winter support for older people with mental illness.

Older people with mental health problems are often reluctant to use day-care facilities in the winter. This can often have a detrimental effect on their health and put further pressures on overstretched facilities. The authors describe a pilot scheme at a mental health trust in London that provided assertive outreach to service users who found it difficult to engage with services, encouraging them to take part in therapeutic activities and to attend the day centre.