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  • 1
    ISSN: 1530-0358
    Schlagwort(e): Obstetric injury ; Fecal incontinence ; Biofeedback therapy
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract PURPOSE: This study was designed to compare prospectively the effects of augmented biofeedback with those of sensory biofeedback alone on fecal incontinence and anorectal manometry after obstetric trauma. METHODS: A consecutive cohort of 40 females with impaired fecal continence after obstetric anal sphincter injury were recruited from a dedicated perineal clinic. Patients were randomly assigned to receive either augmented biofeedback or sensory biofeedback alone. All patients were assessed before and after twelve weeks of biofeedback training, using a fecal continence questionnaire and anorectal manometry. RESULTS: Thirty-nine of 40 females recruited completed the study. Continence scores improved in both treatment groups, but the results were better for those who received augmented biofeedback. Anorectal manometry was unchanged by sensory biofeedback, whereas anal resting and squeeze pressures increased with augmented biofeedback. No change in anal vector symmetry was observed in either group. CONCLUSION: Augmented biofeedback training is superior to sensory biofeedback alone in the treatment of impaired fecal continence after obstetric trauma.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    ISSN: 1573-0956
    Schlagwort(e): Extreme floods ; Storm transposition ; Rainfall-runoff models ; SHE
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Geologie und Paläontologie , Physik
    Notizen: Abstract Methods for estimating the magnitude of extreme floods are reviewed. A method which combines a probabilistic storm transposition technique with a physically-based distributed rainfallrunoff model is described. Synthetic storms with detailed spatial and temporal distributions are generated and applied to the calibrated model of the Brue river basin, U.K. (area 135 km2). The variability of catchment response due to storm characteristics (storm area, storm duration, storm movement, storm shape and within storm variation) and initial catchment wetness conditions is investigated. A probabilistic approach to estimating the return periods of extreme catchment responses is suggested.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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