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Japan Journal of Nursing Science : JJNS Jan 2020Nonpharmacologic pain control methods, which are increasingly becoming widespread in coping with labor pain, are the methods that allow women to completely relax without... (Randomized Controlled Trial)
Randomized Controlled Trial
AIM
Nonpharmacologic pain control methods, which are increasingly becoming widespread in coping with labor pain, are the methods that allow women to completely relax without using any medication and direct them to perceive the pain at the lowest level. This study was conducted to determine the effect of sacral massage on labor pain and anxiety.
METHODS
This study was conducted as a randomized controlled experimental study at Bağcılar Hospital, Obstetrics and Gynecology Clinic between March and October 2016. In all, 60 women, 30 of whom were in the control group and 30 of whom were in the experimental group, constituted the research sample. The women in the experimental group were administered a massage to the sacral region for 30 min. The questionnaire form, birth action follow-up form, postpartum interview form, visual analog scale (VAS) and state-trait anxiety inventory were used to collect data in the study.
RESULTS
The latent phase VAS averages (3.57 ± 1.43), active phase VAS averages (7.03 ± 1.5) and transition phase VAS averages (8.83 ± 1.78) of the experimental group were found to be statistically significantly lower than those of the control group (P < .05).
CONCLUSION
It was concluded that sacral massage applied during labor reduced women's labor pain, lowered the levels of concern and anxiety, led to greater feelings of satisfaction among pregnant women in terms of labor, positively affected the perception of labor and had no fetal side effects.
Topics: Adaptation, Psychological; Adolescent; Adult; Anxiety; Emotions; Female; Humans; Labor Pain; Labor, Obstetric; Massage; Pain Management; Postpartum Period; Pregnancy; Sacrum; Surveys and Questionnaires; Young Adult
PubMed: 31298494
DOI: 10.1111/jjns.12272 -
Journal of Wound, Ostomy, and...The purpose of this systematic review was to identify and evaluate the use of prophylactic foam dressings for prevention of hospital-acquired pressure injuries (HAPIs).
PURPOSE
The purpose of this systematic review was to identify and evaluate the use of prophylactic foam dressings for prevention of hospital-acquired pressure injuries (HAPIs).
METHODS
A systematic review was conducted in accordance with the Preferred Reporting Items of Systematic Reviews and Meta-analysis Statement (PRISMA).
SEARCH STRATEGY
Four researchers independently conducted searches in Health Source, Cochrane of Systematic Reviews, CINAHL, and PubMed. Search terms included: "pressure* OR skin breakdown AND sacrum*"; "ICU patient* OR critical care patient*"; and "foam dressing OR prophylactic* or prevent*."
FINDINGS
The search identified 380 articles; 14 met eligibility criteria. The methodological quality of the included studies was variable. Findings from all studies included in our review support a decrease in HAPI incidence with use of sacral foam dressings.
IMPLICATIONS
Findings from this review suggest that prophylactic foam dressings decrease sacral HAPI occurrences in critical care patients. While additional research is needed, current best evidence supports use of prophylactic foam sacral dressings for patients at risk for HAPI.
Topics: Bandages; Hospitals; Humans; Incidence; Pressure; Pressure Ulcer; Sacrococcygeal Region; Wound Healing
PubMed: 33951710
DOI: 10.1097/WON.0000000000000762 -
African Journal of Paediatric Surgery :... 2022Rhabdomyosarcoma (RMS) is one of the common malignant soft-tissue sarcomas affecting children. It originates from the embryonic mesenchyme precursor of striated muscle...
Rhabdomyosarcoma (RMS) is one of the common malignant soft-tissue sarcomas affecting children. It originates from the embryonic mesenchyme precursor of striated muscle and is frequently seen in the head-and-neck region, genitourinary system and extremities. Occasionally, it arises from the retroperitoneum, biliary tract and abdomen and is rarely seen in the sacrococcygeal area. A 4-month-male child presented with a nodule over the sacrum. Based on histopathology and immunohistochemical marker studies, a final diagnosis of RMS was rendered. There was no evidence of any teratomatous elements.
Topics: Child; Humans; Male; Rhabdomyosarcoma; Sacrococcygeal Region; Soft Tissue Neoplasms; Teratoma
PubMed: 36018208
DOI: 10.4103/ajps.ajps_69_21 -
MMW Fortschritte Der Medizin Sep 2022
Review
Topics: Back Pain; Humans; Low Back Pain; Sacrococcygeal Region
PubMed: 36064923
DOI: 10.1007/s15006-022-1801-3 -
American Journal of Obstetrics and... Jul 2023
Topics: Female; Humans; Endometriosis; Sacrococcygeal Region; Laparoscopy
PubMed: 36641114
DOI: 10.1016/j.ajog.2023.01.009 -
Current Opinion in Urology Jul 2020To provide an overview of available electrical stimulation devices in neurogenic patients with lower urinary tract disease. (Review)
Review
PURPOSE OF REVIEW
To provide an overview of available electrical stimulation devices in neurogenic patients with lower urinary tract disease.
RECENT FINDINGS
It is advocated to do more studies in neurogenic patients as results seem promising and useful but most studies did not include neurogenic patients or neurogenic patients were not analyzed or reported separately. Most studies included a small heterogenous neurogenic group with multiple pathophysiologic origin focusing on effect of a treatment instead of results of a treatment in a specific neurogenic group. Neuromodulation or stimulation has the advantage that it acts on different organs, like bladder and bowel, so can treat neurogenic patients, who mostly suffer from multiple organ failure.
SUMMARY
Brindley procedure, sacral neuromodulation (SNM) and posterior tibial nerve stimulation (PTNS) are available for a while already. The Brindley procedure (including sacral anterior root stimulation in combination with a rhizotomy of posterior sacral roots) is developed for selected spinal cord injury patient with a complete spinal injury, and has shown results for many years in neurogenic patients. An alternative to the rhizotomy is not established yet. SNM and PTNS are other modalities that are used in nonneurogenic patients, but are not yet indicated and much studied in neurogenic patients.
Topics: Denervation; Electric Stimulation; Electric Stimulation Therapy; Humans; Implantable Neurostimulators; Lower Urinary Tract Symptoms; Rhizotomy; Sacrococcygeal Region; Spinal Nerve Roots; Tibial Nerve; Urinary Bladder; Urinary Bladder, Neurogenic
PubMed: 32427629
DOI: 10.1097/MOU.0000000000000773 -
Medicine Dec 2022Sacrococcygeal teratomas (SCT) in adults are extremely rare, and most SCTs are located either mainly outside the pelvis, with a small number of intrapelvic components,... (Review)
Review
Sacrococcygeal teratomas (SCT) in adults are extremely rare, and most SCTs are located either mainly outside the pelvis, with a small number of intrapelvic components, or mostly in the pelvis (types III and IV). The etiology of teratomas remains unknown. Most teratomas are benign, and approximately 1 to 2% of teratomas undergo malignant transformation, including squamous cell carcinoma, adenocarcinoma, sarcoma, and other malignancies. Most SCTs grow insidiously, and their symptoms are not easily detected in the early stages. Some cases may only be discovered through physical examination or compression symptoms when the tumor reaches a detectable size. Computed tomography and magnetic resonance imaging have high detection rates for presacral space-occupying lesions and can provide imaging details with guiding significance for the selection of surgical methods. Surgical resection is the preferred treatment option for SCT and can determine the pathological type. Common sacrococcygeal malignancies are mainly immature teratomas and mature teratomas. When the presence of malignant components is confirmed, the treatment model should be adjusted according to pathological type.
Topics: Humans; Adult; Sacrococcygeal Region; Teratoma; Tomography, X-Ray Computed; Pelvic Neoplasms; Pelvis; Spinal Neoplasms
PubMed: 36596010
DOI: 10.1097/MD.0000000000032410 -
Pediatrics International : Official... Jul 2019
Topics: Health Surveys; Humans; Japan; Practice Guidelines as Topic; Prognosis; Sacrococcygeal Region; Teratoma
PubMed: 31359538
DOI: 10.1111/ped.13933