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Annals of the Royal College of Surgeons... Sep 2010
Topics: Arthroscopy; Humans; Knee Joint; Syringes; Therapeutic Irrigation
PubMed: 20819337
DOI: 10.1308/rcsann.2010.92.6.531 -
BMJ Open Aug 2022HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such...
More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor.
OBJECTIVES
HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess interest in biomedical prevention strategies.
METHODS
This exploratory and cross-sectional study investigated interest in four biomedical prevention tools-rectal douche, dissolvable implant, removable implant and injection-among a racially diverse sample of MSM from the Northeast Corridor region between Philadelphia and Trenton. Data were collected as part of screening for , a couples-based HIV prevention intervention for Latino MSM and their partners.
RESULTS
A total of 381 individuals participated in the screener and provided information about their interest in bio tools. Approximately 26% of participants identified as black, 28% as white and 42% as 'other' or multiracial; 49% identified as Latino. Majority (54%) reported some form of child sexual abuse. Of the participants who reported being in a primary relationship (n=217), two-thirds reported unprotected anal sex within that relationship over the past 90 days (n=138, 64%) and approximately half (n=117, 54%) reported unprotected anal sex outside of the relationship in this period. Majority of participants reported interest in all bio tools assessed, including dissolvable implants (60%), removable implants (64%), rectal douching (79%) and injection (79%). Although interest in bio tools was broadly unassociated with demographics and sexual risk behaviours, analyses revealed significant associations between reports of child sexual abuse and interest in implant and injection methods.
CONCLUSIONS
The authors recommend investing in these prevention methods, particularly rectal douching and injection, as a means of preventing HIV among racial minority MSM. Given the interest in biomedical prevention tools, future studies should explore potential strategies for adherence.
Topics: Child; Cross-Sectional Studies; HIV Infections; Homosexuality, Male; Humans; Male; Risk-Taking; Sexual Behavior; Sexual Partners; Sexual and Gender Minorities; Therapeutic Irrigation
PubMed: 35981775
DOI: 10.1136/bmjopen-2022-063474 -
Anaesthesia Sep 1993
Topics: Equipment Design; Equipment Safety; Humans; Pressure; Therapeutic Irrigation
PubMed: 8214525
DOI: 10.1111/j.1365-2044.1993.tb07635.x -
Journal of the National Medical... Sep 1989
Topics: Female; Humans; Pelvic Inflammatory Disease; Risk Factors; Therapeutic Irrigation; Vagina
PubMed: 2778841
DOI: No ID Found -
BMC Oral Health Mar 2023This study compared in vitro the anastomosis cleaning efficacy of different irrigant activation techniques at different levels; control group non-activation (NA),... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
This study compared in vitro the anastomosis cleaning efficacy of different irrigant activation techniques at different levels; control group non-activation (NA), passive ultrasonic irrigation (PUI) using Irrisafe, and EDDY sonic activation.
METHODS
Sixty anastomosis-containing mesial roots of mandibular molars were mounted in resin, sectioned at 2, 4, and 6 mm from the apex. Then reassembled and instrumented in a copper cube. For the irrigation technique roots were randomly divided into 3 groups (n = 20): group 1: NA, group 2: Irrisafe, group 3: EDDY. Stereomicroscopic images of anastomoses were taken after instrumentation and after irrigant activation. ImageJ program was used to calculate the percentage of anastomosis cleanliness. The percentage of cleanliness was calculated before and after final irrigation within each group and were then compared using paired t-tests. Intergroup and intragroup analyses were performed to compare between different activation techniques at the same root canal level (2, 4 and 6 mm) (intergroup) and to evaluate if each technique had different cleanliness efficacy according to the root canal level (intragroup) using one-way analysis of variance and post hoc tests (p < 0.05).
RESULTS
All three irrigation techniques significantly improved anastomosis cleanliness (p < 0.001). Both activation techniques were significantly better than the control group at all levels. Intergroup comparison revealed that EDDY significantly achieved the best overall anastomosis cleanliness. The difference between EDDY and Irrisafe was significant in favor to EDDY at 2 mm and insignificant at 4 and 6 mm. The intragroup comparison showed that improvement in anastomosis cleanliness (i2-i1) in the needle irrigation without activation group (NA) was significantly higher in the apical 2 mm level compared to the 4 & 6 levels. While the difference in anastomosis cleanliness improvement (i2-i1) between levels in both Irrisafe and EDDY groups was insignificant.
CONCLUSIONS
Irrigant activation improves anastomosis cleanliness. EDDY was the most efficient in cleaning anastomoses located in the critical apical part of the root canal.
CLINICAL RELEVANCE
Cleaning and disinfection of the root canal system followed by apical and coronal sealing is the key for healing or prevention of apical periodontitis. Remnants of debris and microorganisms retained within the anastomoses (isthmuses), or other root canal irregularities may lead to persistent apical periodontitis. Proper irrigation and activation are essential for cleaning root canal anastomoses.
Topics: Humans; Anastomosis, Surgical; Dental Pulp Cavity; Periapical Periodontitis; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Therapeutic Irrigation
PubMed: 36906530
DOI: 10.1186/s12903-023-02835-0 -
International Journal of Surgery... Jan 2016To assess the effectiveness of rectal wash out in preventing local recurrence for patients who undergo anterior resection for recto-sigmoid cancer. (Review)
Review
PURPOSE
To assess the effectiveness of rectal wash out in preventing local recurrence for patients who undergo anterior resection for recto-sigmoid cancer.
MATERIALS AND METHODS
A best evidence topic was constructed according to a structured protocol. Medline 1948-2015 and EMBASE 1980 to 2015 using the OVID interface: ( Rectal) AND (Washout) AND (Anterior Resection). In addition, the reference lists of the relevant papers were searched.
OUTCOMES
Eight papers among the 17 relevant articles were identified as representing the best evidence including 3 prospective non-randomized studies, 1 retrospective non randomized study and 4 meta-analyses.
CONCLUSIONS
On the basis of current evidence, rectal washout does not stop local recurrence of cancer after anterior resection or left sided colonic resection, but it may reduce the rate of local recurrence. A randomised controlled trial to address this issue would formally answer this question.
Topics: Colectomy; Humans; Neoplasm Recurrence, Local; Preoperative Care; Prospective Studies; Rectal Neoplasms; Retrospective Studies; Sigmoid Neoplasms; Therapeutic Irrigation
PubMed: 26626366
DOI: 10.1016/j.ijsu.2015.11.041 -
Physical Medicine and Rehabilitation... Aug 2020Neurogenic bowel has received surprisingly little attention. Among individuals with spinal cord injury, bowel function is considered a major physical and psychological... (Review)
Review
Neurogenic bowel has received surprisingly little attention. Among individuals with spinal cord injury, bowel function is considered a major physical and psychological problem that stems from the severe negative impact on social life and mobility. With transanal irrigation, individuals with neurogenic bowel have received an additional tool that may simplify life and improve independence. A recent survey showed that as many as 37% of the spinal cord injury patients interviewed had not heard about transanal irrigation. It should be a high priority at spinal cord injury centers to support patients with the right tools for proper bowel management and care.
Topics: Humans; Neurogenic Bowel; Spinal Cord Injuries; Therapeutic Irrigation
PubMed: 32624096
DOI: 10.1016/j.pmr.2020.04.003 -
Jornal de Pediatria 2023To map available scientific evidence about the pediatric population with spina bifida submitted to transanal irrigation to manage signs and symptoms of neurogenic bowel. (Review)
Review
OBJECTIVE
To map available scientific evidence about the pediatric population with spina bifida submitted to transanal irrigation to manage signs and symptoms of neurogenic bowel.
SOURCE OF DATA
This research was developed according to recommendations from the Joanna Briggs Institute Reviewers' Manual and the PRISMA Extension for Scoping Reviews. Searches were carried out in the databases: CINAHL, Medline/Pubmed, Scielo, Scopus, Web of Science, Embase, LILACS, Proquest, and the CAPES catalog of theses and dissertations. Quantitative and qualitative studies on the topic were included, as long as they dealt with this population. There was no predetermined time frame.
SUMMARY OF THE FINDINGS
The authors found 1.020 studies, selected 130 for close reading, and included 23 in the review, all of which had been published from 1989 to 2021. The authors mapped the characteristics of the studies, including their definitions of concepts and use of scales, criteria for the indication of transanal irrigation, training to carry out the procedure, devices and solutions used, number and frequency of transanal irrigations, health care actions, time spent, associated complications, complementary exams, adherence rate, follow-up, and outcomes, focusing on the benefits for bowel management.
CONCLUSIONS
Despite the variability of evaluation parameters and term definitions, evidence suggests that transanal irrigation is a safe and effective method to manage fecal incontinence. Studies in the field are likely to grow, using standardized scales and longitudinal follow-ups. The authors suggest further research on transanal irrigation in the pediatric population with spina bifida in the Latin American context.
Topics: Humans; Child; Neurogenic Bowel; Constipation; Therapeutic Irrigation; Fecal Incontinence; Spinal Dysraphism
PubMed: 36852756
DOI: 10.1016/j.jped.2023.02.001 -
Anaesthesia Jul 2000
Topics: Aged; Extravasation of Diagnostic and Therapeutic Materials; Glycine; Humans; Male; Pleural Effusion; Prostatectomy; Therapeutic Irrigation; Urinary Bladder
PubMed: 10919446
DOI: 10.1046/j.1365-2044.2000.01557-20x./ -
Anaesthesia Dec 1990
Topics: Aged; Glycine; Humans; Intraoperative Complications; Male; Postoperative Complications; Prostatectomy; Therapeutic Irrigation; Urethra
PubMed: 2278345
DOI: 10.1111/j.1365-2044.1990.tb14911.x