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Sleep and Overactive Bladder in Parkinson's Disease
Urol Clin North Am. 2024 May;51(2):197-207. doi: 10.1016/j.ucl.2024.02.005. Epub 2024 Mar 10.ABSTRACTPatients with Parkinson's disease (PD) have disturbances in their bladder and sleep physiology that lead to nocturia and overactive bladder (OAB). These symptoms can be extremely bothersome and impact not only their quality of life (QoL) but also the QoL of their caretakers. We aim to highlight the changes in bladder and sleep physiology in PD and explore OAB/nocturia treatment strategies in this population.PMID:38609192 | DOI:10.1016/j.ucl.2024.02.005 (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: Yu Zheng Anne P Cameron Source Type: research

Urinary Catheters: Materials, Coatings, and Recommendations for Selection
Urol Clin North Am. 2024 May;51(2):253-262. doi: 10.1016/j.ucl.2024.01.003. Epub 2024 Feb 9.ABSTRACTUrinary catheters have been used for more than 3000 years, although materials have changed from wood to silver to rubber. Research continues to try and find the optimal catheter materials, which improve safety and quality of life. Advantages when comparing newer catheter materials are not always obvious but catheters coated with a hydrophilic layer may reduce urethral trauma and the incidence of urinary tract infections. However, extrapolation of the data is limited by lack of end-point standardization and heterogenous popul...
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: John T Stoffel Lisa Yu Source Type: research

Neurogenic Bladder: A Complex Puzzle with Multiple Pieces
Urol Clin North Am. 2024 May;51(2):xvii-xix. doi: 10.1016/j.ucl.2024.02.008. Epub 2024 Feb 28.NO ABSTRACTPMID:38609205 | DOI:10.1016/j.ucl.2024.02.008 (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: John T Stoffel Source Type: research

The Current State of Alcohol Screening and Management in Virginia Primary Care Practices: An Evaluation of Preventive Service Use
Med Clin North Am. 2023 Nov;107(6S):e1-e17. doi: 10.1016/j.mcna.2023.07.001. Epub 2023 Aug 23.ABSTRACTThe US Preventive Services Task Force (USPSTF) recommends screening and behavioral counseling for adults over 18 years for unhealthy alcohol use. Recommended screening instruments include the Alcohol Use Disorders Identification Test-Concise and or Single Alcohol Screening Question. Behavioral counseling is feasible in primary care, taking on average 30 minutes. Baseline data for a practice facilitation trial demonstrated clinicians appropriately screened only 10.8% of patients and only identified 9.6% as having risky drin...
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: Alison N Huffstetler Gabriela Villalobos E Marshall Brooks Adam Funk Alicia Richards Roy T Sabo Michelle S Rockwell John W Epling Ben Webel Alex H Krist Source Type: research

Acceptance of a Future Gonorrhea Vaccine in a Post-Coronavirus Disease 2019 World: Impact of Type of Recommendation and Changing Levels of Trust in Health Institutions and Authorities
Med Clin North Am. 2023 Nov;107(6S):e19-e37. doi: 10.1016/j.mcna.2023.06.010. Epub 2023 Jun 13.ABSTRACTWidespread uptake of a future gonorrhea vaccine could decrease the burden of disease and limit the spread of antibiotic resistance. However, gonorrhea vaccination will occur in the backdrop of the roll-out of the coronavirus disease 2019 (COVID-19) vaccine, which could have influenced parental perceptions about other, non-COVID-19 vaccines. In an internet-based cross-sectional survey, 74% of parents would get a gonorrhea vaccine for their child, and this was higher among those whose trust in pharmaceutical companies incre...
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: Abram L Wagner Ashley Lacombe-Duncan Matthew L Boulton Source Type: research

Defining Meaningful Change in Antihypertensive Medication Adherence in Adults with Established Hypertension: Implications for Clinical Practice
Med Clin North Am. 2023 Nov;107(6S):e39-e52. doi: 10.1016/j.mcna.2023.06.008. Epub 2023 Jul 23.ABSTRACTUncontrolled hypertension and low antihypertensive medication adherence remain significant clinical challenges. There is a critical need to detect meaningful change in adherence in clinical settings. The authors determined that a ≥2-point change in the 4-item Krousel-Wood Medication Adherence Scale score represents meaningful change in antihypertensive medication adherence. Among a sample of participants in an ongoing clinical trial, 5.9% experienced a decline in adherence, which was associated with higher blood pressur...
Source: The Medical Clinics of North America - April 12, 2024 Category: General Medicine Authors: Erin Peacock Paul Muntner Leslie S Craig Julia Silver Katherine T Mills Jing Chen Lizheng Shi Paul K Whelton Jiang He Marie Krousel-Wood Source Type: research