ABSTRACT
Laparoscopic-assisted vaginal hysterectomy is now an accepted procedure and is being performed by increasingly large numbers of gynecologic surgeons. The procedure is technically difficult and has the potential for serious complications. Sixty-two laparoscopic hysterectomies were performed by the senior author from June 15, 1991, to December 15, 1993. Six patients incurred operative morbidity for a complication rate of 9.7%. All the complications were significant, requiring further surgery; four were related to the laparoscopic portion of the procedure, and two to the vaginal portion only.
Subject(s)
Hysterectomy, Vaginal/adverse effects , Laparoscopy/adverse effects , Adult , Ambulatory Surgical Procedures , Blood Loss, Surgical , Colon, Sigmoid/injuries , Female , Humans , Intestinal Obstruction/etiology , Intraoperative Complications , Leiomyoma/surgery , Menorrhagia/surgery , Middle Aged , Postoperative Hemorrhage/etiology , Rectum/injuries , Tissue Adhesions/surgery , Ureter/injuries , Urinary Bladder/injuries , Uterine Neoplasms/surgeryABSTRACT
24 patients with chronic low back pain were randomly assigned to three treatment conditions: EMG biofeedback, relaxation training, and a placebo condition. Patients were seen for eight sessions and were evaluated before Session 1 and after Session 8. Eight analyses of covariance which were adjusted for age and pretest scores were computed on the final scores to find which variables could detect significant difference between treatments. Age was included as a covariate because the differences in age between conditions were significant. Four variables with significant and nearly significant differences were chosen for analysis. The second set of analyses identified the nature of the differences among the three conditions. These included a priori planned comparisons among conditions, and paired t tests. Relaxation-trained subjects were significantly superior to subjects in the placebo condition, in decreasing pain during the function test, increasing relaxation, and decreasing Upper Trapezius EMG. They were superior to EMG Biofeedback training in increasing reported activity. Both Relaxation and EMG trained subjects were able to reduce Upper Trapezius EMG by Session 8. Relaxation-trained subjects showed significant change on eight of the 14 possible comparisons for each treatment condition. EMG biofeedback training showed significant favorable results in only one condition; the placebo condition showed no significant results. Relaxation training gave better results in reducing EMG and pain, and in increasing relaxation and activity than either EMG biofeedback alone or a placebo condition.
Subject(s)
Back Pain/therapy , Biofeedback, Psychology , Electromyography , Relaxation Therapy , Chronic Disease , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Muscle RelaxationABSTRACT
The dietary intakes of an elderly non-institutionalized population in inner metropolitan Sydney were collected and analysed. Participants in the study (n = 124) had their midday meal at either an Activity Centre or at home (Meals-on-Wheels Organization). The dietary data was collected over 4 days. Heights and weights and some sociological data were also obtained. The study indicated that a significant proportion of this population may be at nutritional risk, and that this was particularly so for males receiving Meals-on-Wheels.
