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The pelvic floor muscles, integral to urinary, bowel, and sexual function, can cause various symptoms when impaired, including pelvic pain, bowel and bladder dysfunction, incontinence, pelvic organ prolapse, and sexual dysfunction. This chapter explores pelvic floor anatomy, symptoms, and associated diagnoses. It provides screening tools for OBGYNs to use in practice, language to help address patient fears around sexual dysfunction, and emphasizes the role of pelvic floor physical and occupational therapy in treating these conditions.
View Article and Find Full Text PDF[Transfer of knowledge in psychiatry through the 4 editions from 1980 to 2016 of the Quebec psychiatry manual].
Sante Ment Que
December 2024
Institut universitaire en santé mentale de Montréal, Québec, Canada.
Objectives To examine the transfer of knowledge in psychiatry, longitudinally, over more than 35 years, through the 4 editions of the manual "Psychiatrie clinique" published in Quebec, thanks to the initiative of the publication directors affiliated with the Institut universitaire en santé mentale de Montréal (formerly the Louis-H. Lafontaine Hospital). Our hypothesis is that the evolution of the content and form of such a manual reflects an evolution of knowledge in psychiatry with a naturally educational vocation which of what must be known and applicable in the discipline.
View Article and Find Full Text PDFThe overlooked burden of persistent physical symptoms: a call for action in European healthcare.
Lancet Reg Health Eur
January 2025
Department of Psychosomatic Medicine and Psychotherapy, Centre for Internal Medicine, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg 20246, Germany.
Regardless of their cause, persistent physical symptoms are distressing somatic complaints that occur on most days for at least several months. They are common in patients with somatic diseases, functional somatic disorders, mental disorders, and undiagnosed medical conditions and are often associated with significant impairment and medical costs. Despite their prevalence and impact, persistent physical symptoms are often overlooked in medical care.
View Article and Find Full Text PDFThe first use of "lupus" as a disease.
Lupus
January 2025
Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Objectives: Describe the history of the use of the term "lupus" as a disease and to point out the inaccuracies of previous lupus historical articles and correct the historical record.
Methods: An exhaustive review of Medieval and later texts regarding the use of the term "lupus" as it was used for the name of a disease as well as personal communications with Medieval experts who have studied this topic.
Results: There are three possible first uses of "lupus" as a disease: an affidavit written in 963 AD by Eraclius (Bishop of Liège, Belgium), in a 12th century historical account of the Bishop of Liège, falsely ascribed to the 9th century Bishop Herbernus, or in an 1170 AD letter written by Pierre de Blois about the death of archbishop Stephan du Perche.
Neurological Monitoring and Management for Adult Extracorporeal Membrane Oxygenation Patients: Extracorporeal Life Support Organization Consensus Guidelines.
ASAIO J
December 2024
Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands.
Background: Critical care of patients on extracorporeal membrane oxygenation (ECMO) with acute brain injury (ABI) is notable for a lack of high-quality clinical evidence. Here, we offer guidelines for neurological care (neurological monitoring and management) of adults during and after ECMO support.
Methods: These guidelines are based on clinical practice consensus recommendations and scientific statements.
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