Publications by authors named "H J Rayala"
Background And Objective: A urodynamic study (UDS) is a routine clinic procedure that can cause significant discomfort for certain patients, with no satisfactory analgesic alternatives currently available. Our aim was to evaluate the effectiveness of low-dose self-adjusted nitrous oxide (SANO), titrated to the patient's desired effect, on standard metrics for bladder function and on patient-reported pain and anxiety.
Methods: We conducted a single-institution, double-blind, randomized crossover trial in adults undergoing UDS.
Article Synopsis
- The study investigates the use of low-dose, patient-adjusted nitrous oxide to enhance patient comfort during transrectal prostate biopsies, a procedure that can cause pain and anxiety.
- It involved 133 patients, comparing the effects of nitrous oxide versus oxygen in addition to standard pain relief, measuring anxiety and pain levels before and after the procedure.
- Results showed that while nitrous oxide did not significantly reduce anxiety, it resulted in lower pain scores and better tolerance ratings from urologists, suggesting it is a safe option for improving patient experience.
Introduction: Breast cancer screening (BCS) disparities leave historically underserved groups more vulnerable to adverse outcomes. This study explores granular associations between BCS and patient sociodemographic factors in a large urban safety-net health system.
Methods: A retrospective review among female patients ages 50-74 within an urban safety-net health system was conducted in 2019.
Though rates of colorectal cancer (CRC) screening continue to improve with increased advocacy and awareness, there are numerous disparities that continue to be defined within different health systems and populations. We aimed to define associations between patients' socio-demographic characteristics and CRC screening in a well-resourced safety-net health system. A retrospective review was performed from 2018 to 2019 of patients between 50 and 75-years-old who had a primary care visit within the last two years.
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