(C) 2011 American Institute of Physics. [doi:10.1063/1.3565049]“
“Aims: While complex symptom scales are important research tools, simpler, preferably single item scales may be more useful for routine clinical practise in the evaluation of patients with overactive bladder syndrome (OAB). This study aimed to compare multiple single-item scales at baseline and after treatment with patient-reported
overall rating of treatment efficacy. Methods: In a pre-planned secondary analysis of a previously reported observational study, 4,450 patients were evaluated at baseline and after 12 weeks open-label treatment with solifenacin. Apart from episode counting for find more classical OAB symptoms, the following single-item rating scales were applied: Indevus Urgency Severity Scale, Urgency Perception Scale, a Visual Analog Scale (VAS), quality of life question of the IPSS, and general health and bladder problem questions of the King’s Health Questionnaire (KHQ). Results: At baseline OAB symptoms correlated at best moderately with each (r = 0.285-0.508) other or with any of the rating scales (r = 0.060-0.399). Pair-wise correlations between treatment-associated symptom
or scale improvements tended to be tighter (r = 0.225-0.588). When compared to patient-reported efficacy, the VAS (r = 0.487) and the bladder problem question of the KHQ (r = 0.452) showed the tightest correlation, whereas all symptom and rating scale improvements exhibited poor correlation with patient-reported tolerability (r <= 0.283). Conclusions: The VAS and the bladder problem question of the KHQ show the greatest AZD5582 promise as single-item scales to assess problem intensity in OAB patients. Neurourol. Urodynam.
30: 510-514, 2011. (C) 2011 Wiley-Liss, Inc.”
“BACKGROUND: Ovarian tumors during pregnancy are rare. There is sparse clinical evidence about the safety of chemotherapy in this situation.\n\nCASE: A 34-year-old woman was diagnosed by ultrasonography at 15 1/2 weeks of pregnancy with a Krukenberg tumor. She was treated with surgical removal and 10 courses of the combination of 5-fluorouracil, folinic acid, and irinotecan every 2 weeks PKC inhibitor until the 36th week of her pregnancy. The neonate was born without complications, and at age 4 months, showed normal development and no teratogenic effects.\n\nCONCLUSION: In this case, irinotecan started at the second trimester and was safely used at full adjuvant dose. (Obstet Gynecol 2009;114:451-2)”
“Bird M-L, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Arch Phys Med Rehabil 2012;93:43-9.\n\nObjective: To evaluate effects of a Pilates intervention on balance and function in community-dwelling older (aged > 60y) adults.\n\nDesign: Randomized crossover study design lasting 16 weeks.\n\nSetting: University exercise clinic.