Isr Med Assoc J
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Serasis® (Serag-Wiessner KG, Naila, Germany) is a light-weight mid-urethral sling for treating stress urinary incontinence (SUI). Its insertion is considered less traumatic than other mid-urethral slings. ⋯ Serasis mid-urethral sling is safe, effective, and associated with mild postoperative pain and a low incidence of complications.
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Polyp detection rate (PDR) is a convenient quality measure indicator. Many factors influence PDR, including the patient's background, age, referral (ambulatory or hospitalized), and bowel cleansing. ⋯ Years of colonoscopy experience for both doctors and assisting nurses were not associated with APDR, PPDR, and SPDR. In doctors with 2.4 years of experience and nurses with 9.5 years of experience, a significant increase in APDR was observed.
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Advances in examination techniques have improved routine assessment of non-gynecological structures in the pelvis. ⋯ Transvaginal ultrasound is useful in the diagnosis of urological abnormalities, mainly in the urinary bladder and the distal ureters. We suggest adding transvaginal assessment for female patients with urinary complains in whom transabdominal ultrasound of urinary system was unremarkable.
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Obesity Paradox in Patients Hospitalized with Community Acquired Sepsis: Does Age Make a Difference?
Higher body mass index (BMI) has been shown to be a protective factor from mortality in sepsis patients. Yet, whether this effect is different in the very elderly is currently unknown. ⋯ Among patients hospitalized with sepsis, higher BMI is a protective factor against mortality in both elderly and younger patients.