1,720,975 research outputs found
Sacral neuromodulation in patients with multiple sclerosis.
World J Urol (2012) 30:123–128
DOI 10.1007/s00345-011-0669-0
123
ORIGINAL ARTICLE
Sacral neuromodulation in patients with multiple sclerosis
Daniele Minardi · Giovanni Muzzonigro
Received: 10 December 2010 / Accepted: 28 February 2011 / Published online: 15 March 2011
© Springer-Verlag 2011
Abstract
Purpose We present a case series of patients with multiple
sclerosis (MS) and neurogenic lower urinary tract dysfunction
treated by sacral neuromodulation (SNM).
Methods We reviewed charts of 25 patients who were
treated for refractory lower urinary tract symptoms; during
the SNM testing phase, patient management included evaluation
of number of daily voiding, number of episodes of
incontinence, residual urine and quality of life score.
Patients who experienced greater than 50% improvement in
symptoms of frequency and incontinence episodes and/or a
greater than 50% decrease in the number of catheterizations
and a greater than 50% increase in voided volumes were
oVered placement of the permanent InterStimTM .
Results Fifteen patients were implanted with InterStimTM;
mean duration of MS was 13.66 years; mean follow-up of
patients was 49.4 months. Nine patients were on clean
intermittent catheterization, and in all of them, a signiWcant
decrease in residual volume with increase in voided volume
and number of voiding per day; in 6 patients, the main
problem was incontinence, and in them incontinence, episodes
decreased and voided volume increased. Sixty-six per
cent of patients have a functioning device after a mean follow-
up of 61.2 months.
Conclusions SNM is a good option in the treatment of
voiding dysfunction in patients with MS in a medium to
long-term follow-up. Urinary retention due to detrusor
underactivity is not a good indication for SNM; it should be
oVered to MS patients with refractory urgency urinary
incontinence and MS patients with urinary retention due to
detrusor-sphincter dyssynergia (DSD).
Keywords Neurogenic lower urinary tract dysfunction ·
Multiple sclerosis · Sacral neuromodulatio
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
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only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
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koamabayili/VECTRON-author-checklist: VECTRON author checklist
We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
Author-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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