Three surgical procedures for genuine stress incontinence: five-year follow-up of a prospective randomized study

Article Abstract:

The Burch urethropexy may be more promising than other surgical techniques in the long-term treatment of stress urinary incontinence. Urinary stress incontinence is the involuntary discharge of urine during coughing or straining which pulls on the bladder opening. Researchers evaluated the long-term merits of three surgical procedures to correct stress incontinence in 93 women. Evaluation included 33 women after Burch urethropexy, 30 cases of modified Pereyra needle suspension, and 30 cases of Kelly plication. Patient age ranged from 29 to 77 years old. The Burch technique involved suspending the bladder neck and held more promise after a period of 5 years. Specifically, the cure rate following urethropexy remained over 80 percent. In contrast, the other two procedures were less successful one year after surgery and results further deteriorated after five years. Negative cotton swab testing results at one year, indicative of good bladder neck support, predicted similar outcomes five years after surgery.

Evaluation, Surgery, Urinary stress incontinence, Surgical technology

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A randomized, prospective study comparing once-daily gentamicin versus thrice-daily gentamicin in the treatment of puerperal infection

Article Abstract:

A higher dose of gentamicin and clindamycin treatment given less frequently appears to be as safe and effective and more cost-effective for women with uterine infections after delivery than the conventional treatment regimen. Gentamicin and clindamycin were given once and twice daily, respectively, to 135 infected newly delivered women and three times daily to 137 matched women. Total daily doses were the same. Of those given the concentrated treatment, 94.1% were cured compared to 87.6% of those given conventional treatment. Drug charges were higher for conventional treatment. Neither group had long-term kidney damage.

Drug therapy, Dosage and administration, Puerperal fever, Puerperal infection, Gentamicin, Gentamicins, Endometritis

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Effect of sleep deprivation on medical resident and student cognitive function: a prospective study

Article Abstract:

Going without sleep for longer than 24 hours can affect a doctor's intellectual ability, according to a study of 30 interns and medical students. Their scores on the Grooved Pegboard and California Verbal Learning Test II were lower after being on call all night compared to the time before they were on call. As of May, 2003, there was a bill in Congress that would limit the amount of hours a doctor could work without sleep in all hospitals that receive Medicare funds.

Causes of, Medical students, Residents (Medicine), Sleep deprivation, Cognition disorders, Cognitive disorders

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