Factors That Promote and Hinder Medication Adherence From the Perspective of Inmates in a Provincial Remand Center: A Mixed Methods Study.

Effective medication delivery to inmates within correctional facilities is essential for managing symptoms, preventing relapse, slowing disease progression, and enabling recovery. Despite its importance, medication adherence in correctional facilities is poor. This mixed methods study explores the factors that affect medication adherence from the perspective of 20 inmates at a provincial remand center in Alberta, Canada.

Patient-Assisted Laparoscopy in the Diagnosis and Management of Endometriosis.

Traditionally, surgeons had to diagnose endometriosis and determine themselves which lesions were painful, since the patients were anesthetized. Performing laparoscopy under local anesthesia allows the woman to assist the physician in deciding which lesions are painful and require therapy, and lets the patient determine the results of therapy. Patients reported that black lesions were not painful or were the least painful, followed by white scarred areas.

Patient-Assisted Laparoscopy.

With the development of better optics, laparoscopes of small diameter now give the surgeon the same view as large 10-mm laparoscopes. This in turn, allows laparoscopy to be performed with local rather than general anesthesia. Because the response to procedures done under local anesthesia varies from patient to patient depending on pain tolerance and anxiety, the approach must be flexible.