Detection of non-cardiac fetal abnormalities by ultrasound at 11-14  weeks: systematic review and meta-analysis
CONCLUSIONS: Accurate detection of congenital anomalies using first trimester ultrasound is feasible. In this study we have determined screening characteristics for individual anomalies and have shown that detection rates and false positive rates are dependent on the type of anomaly. The use of a standardised protocol allows diagnostic performance to be maximised, and this particularly enhances screening performance for the detection of spina bifida, facial clefts and limb reduction defects. Highlighting the types of anomalies amenable to diagnosis and determining favourable screening test factors can support the developme...
Source: The Ultrasound Review of Obstetrics and Gynecology - March 28, 2024 Category: Radiology Authors: J Karim D Di Mascio N Roberts A T Papageorghiou ACCEPTS study Source Type: research

Detection of non-cardiac fetal abnormalities by ultrasound at 11-14  weeks: systematic review and meta-analysis
CONCLUSIONS: Accurate detection of congenital anomalies using first trimester ultrasound is feasible. In this study we have determined screening characteristics for individual anomalies and have shown that detection rates and false positive rates are dependent on the type of anomaly. The use of a standardised protocol allows diagnostic performance to be maximised, and this particularly enhances screening performance for the detection of spina bifida, facial clefts and limb reduction defects. Highlighting the types of anomalies amenable to diagnosis and determining favourable screening test factors can support the developme...
Source: The Ultrasound Review of Obstetrics and Gynecology - March 28, 2024 Category: Radiology Authors: J Karim D Di Mascio N Roberts A T Papageorghiou ACCEPTS study Source Type: research

Detection of non-cardiac fetal abnormalities by ultrasound at 11-14  weeks: systematic review and meta-analysis
CONCLUSIONS: Accurate detection of congenital anomalies using first trimester ultrasound is feasible. In this study we have determined screening characteristics for individual anomalies and have shown that detection rates and false positive rates are dependent on the type of anomaly. The use of a standardised protocol allows diagnostic performance to be maximised, and this particularly enhances screening performance for the detection of spina bifida, facial clefts and limb reduction defects. Highlighting the types of anomalies amenable to diagnosis and determining favourable screening test factors can support the developme...
Source: The Ultrasound Review of Obstetrics and Gynecology - March 28, 2024 Category: Radiology Authors: J Karim D Di Mascio N Roberts A T Papageorghiou ACCEPTS study Source Type: research

Sensors, Vol. 24, Pages 1922: Assistance Device Based on SSVEP-BCI Online to Control a 6-DOF Robotic Arm
uevedo This paper explores the potential benefits of integrating a brain–computer interface (BCI) utilizing the visual-evoked potential paradigm (SSVEP) with a six-degrees-of-freedom (6-DOF) robotic arm to enhance rehabilitation tools. The SSVEP-BCI employs electroencephalography (EEG) as a method of measuring neural responses inside the occipital lobe in reaction to pre-established visual stimulus frequencies. The BCI offline and online studies yielded accuracy rates of 75% and 83%, respectively, indicating the efficacy of the system in accurately detecting and capturing user intent. The robotic arm achi...
Source: Sensors - March 17, 2024 Category: Biotechnology Authors: Maritza Alb án-Escobar Pablo Navarrete-Arroyo Danni Rodrigo De la Cruz-Guevara Johanna Tobar-Quevedo Tags: Article Source Type: research

Nursing management of patients dealing with spina bifida: from the prenatal diagnosis to adulthood / nursing intervention for the improvement of the impact of urinary and fecal incontinence on the quality of life of people dealing with spina bifida
Conclusionurinary and fecal incontinence have, of course, an impact on the quality of life of people dealing with spina bifida. Nevertheless, we can observe that it is possible to improve the quality of life of these people, letting them feel confident enough to take part in social activities, through education from an incredibly young age, from 0 up to 25 years old and over, supplied by the medical staff and mostly by the parents (previously educated by the medical staff as well). (Source: Italian Journal of Pediatrics)
Source: Italian Journal of Pediatrics - March 13, 2024 Category: Pediatrics Source Type: research

Nursing management of patients dealing with spina bifida: from the prenatal diagnosis to adulthood / nursing intervention for the improvement of the impact of urinary and fecal incontinence on the quality of life of people dealing with spina bifida
Urinary and fecal incontinence in people dealing with spina bifida, has inevitably an influence on the quality of life. In this analysis, the degree of education on how to manage incontinence and retention is ... (Source: Italian Journal of Pediatrics)
Source: Italian Journal of Pediatrics - March 13, 2024 Category: Pediatrics Authors: Fabiana Calabrese, Antonio Poziello, Gennaro Spiezia, Tiziana Rotunno, Ciro Chervino and Anna Maria Iannicelli Tags: Research Source Type: research

The Association of Prenatal Diagnoses with Mortality and Long-Term Morbidity in Children with Specific Isolated Congenital Anomalies: A European Register-Based Cohort Study
ConclusionsOur findings do not show improved outcomes for prenatally diagnosed infants. For conditions where prenatal diagnoses were associated with greater mortality and morbidity, the findings might be attributed to increased detection of more severe anomalies. The increased mortality and morbidity in those diagnosed prenatally may be related to the lower mean gestational age (GA) at birth, leading to insufficient surfactant for respiratory effort. This is especially important for these four groups of children as they have to undergo anaesthesia and surgery shortly after birth. Appropriate prenatal counselling about the ...
Source: Maternal and Child Health Journal - March 4, 2024 Category: Health Management Source Type: research

Barriers to Transitional Care in Spina Bifida
This article reviews key aspects of the care of patients with spina bifida, the impact of inadequate transition to adult care, barriers to transition, and offers a potential vision for the future. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - February 28, 2024 Category: Urology & Nephrology Authors: Catalina K. Hwang, Kelly T. Harris, Dan Wood Source Type: research

Accuracy in reporting incontinence in adults with spina bifida: a pilot study
The accuracy of self-reported urinary incontinence (UI) and fecal incontinence (FI) among adults with spina bifida (SB) is unknown. We aimed to quantify the accuracy of self-reported recall incontinence “in the last 4 weeks” using prospective diary data. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 23, 2024 Category: Urology & Nephrology Authors: Konrad M. Szymanski, Rosalia Misseri, Devon J. Hensel Source Type: research

Editorial Comment on “Urinary and Fecal Incontinence During Sexual Activity Is Common and Bothersome Among Adults With Spina Bifida”
In a large online survey, Roth et al found that both most adults with spina bifida experience urinary incontinence and many experience fecal incontinence during sexual activity (70% and 45%, respectively).1 There are several important implications of their results. First, this is the first large study to demonstrate that urinary incontinence during sexual activity occurs in men and not just women. Indeed, 62% of men in this study experienced urinary incontinence.1 Ironically, although studies have been conducted on sexual function in men with spina bifida, they have failed to capture this highly bothersome aspect of their ...
Source: Urology - February 21, 2024 Category: Urology & Nephrology Authors: Courtney S. Streur Tags: Editorial Comment Source Type: research

The Role of Upper Extremity Motor Function in the Choice of Bladder Management in Those Unable to Volitionally Void due to Neurologic Dysfunction
It is estimated that 425,000 individuals with neurologic bladder dysfunction (spinal cordinjury, spina bifida and multiple sclerosis) are unable to volitionally void and must rely oncatheter drainage. Upper extremity (UE) motor function is one of the most important factors indetermining the type of bladder management chosen in individuals who cannot volitionally void. Novel bladder management solutions for those with impaired UE motor function and concurrent impairments involitional voiding continue to be an area of need. Those with poor UE motor function more often choose an indwelling catheter, whereas those with normal ...
Source: Urologic Clinics of North America - February 17, 2024 Category: Urology & Nephrology Authors: Michael Juszczak, Kazuko Shem, Christopher S. Elliott Source Type: research

Intradetrusor Botox Injection and Augmentation Cystoplasty Trends Among Spina Bifida Patients at US Freestanding Children ’s Hospitals
Intra-detrusor botulinum toxin (Botox) injection is a minimally invasive alternative to augmentation cystoplasty in patients with refractory neurogenic bladder. Botox was first used for neurogenic bladder children two decades ago. However, there are no existing guidelines on indications or use among patients with spina bifida. Furthermore, there are little data regarding its use relative to bladder augmentation and patient volume on a national scale. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 16, 2024 Category: Urology & Nephrology Authors: Ranveer Vasdev, Kenneth Softness, Dylan Cahill, John Panagides, Tanya Logvinenko, Rachel Saunders, Stuart Bauer, Carlos Estrada, Hsin-Hsiao Scott Wang Source Type: research

Factors Affecting Clean Intermittent Catheterization Compliance among Children and Adolescents with Neurogenic Bladder due to Spina Bifida and Caudal Regression Syndrome
Children and adolescents with neurogenic bladder often need clean intermittent catheterization (CIC) over a long period. Our study aimed to identify factors that affect CIC compliance and to determine if CIC compliance affected short-term urological outcomes among patients in Malaysia. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - February 15, 2024 Category: Urology & Nephrology Authors: Simran K. SIDHU, M Sakhawi M YUSOF, Susan YY. WOO, Poongkodi NAGAPPAN Source Type: research

Urinary and fecal incontinence during sexual activity is common and bothersome among adults with spina bifida
To evaluate the prevalence of and risk factors for urinary fecal incontinence (UI, FI) during sexual activity (UIS, FIS) among adults with spina bifida (SB). (Source: Urology)
Source: Urology - February 12, 2024 Category: Urology & Nephrology Authors: Joshua D. Roth, Devon J. Hensel, John S. Wiener, Nina Younsi, Raimund Stein, Rosalia Misseri, Konrad M. Szymanski Tags: Urologic Congenitalism Source Type: research

Surgical management of complex lumbosacral anomaly with minimally invasive spinal fusion: A clinical image
Key Clinical MessageLumbosacral junction anomalies represent a rather frequent finding in patients with low back pain. Involved healthcare professionals should be familiar with these dysplasias, in order to achieve proper diagnosis and optimize clinical outcomes.AbstractDysplastic alterations in lumbosacral junction represent a frequent finding in patients with low back pain. Lumbosacral transitional vertebra (LSTV), spina bifida occulta (SBO) and isthmic spondylolisthesis (IS) present recognized etiologies of low back pain. Herein, we present a rare case of concurrent presence of LSTV, SBO and IS in a middle-aged male ind...
Source: Clinical Case Reports - February 9, 2024 Category: General Medicine Authors: Stylianos Kapetanakis, Constantinos Chaniotakis, Joanna Bladowska, Nikolaos Gkantsinikoudis Tags: CASE IMAGE Source Type: research