Changes in urethral sphincter size following rehabilitation in older women with stress urinary incontinence

Introduction and hypothesis The purpose of this study was to evaluate the effects of a pelvic floor muscle (PFM) rehabilitation program on the striated urethral sphincter in women over 60 years with stress urinary incontinence (SUI). We hypothesized that the PFM rehabilitation program would also exercise the striated urethral sphincter and that this would be demonstrated by hypertrophy of the sphincter on magnetic resonance imaging (MRI). Methods Women with at least weekly episodes of SUI were recruited. Participants were evaluated before and after a 12-week group PFM rehabilitation intervention with T2-weighted fast-spin-echo MRI sequences recorded in the axial plane at rest to assess urethral sphincter size. Data on SUI symptoms and their bother were also collected. No control group was included. Results Seventeen women participated in the study. The striated urethral sphincter increased significantly in thickness (21 %, p < 0.001), cross-sectional area (20 %, p = 0.003), and volume (12 %, p = 0.003) following the intervention. The reported number of incontinence episodes and their bother also decreased significantly. Conclusions This study appears to demonstrate that PFM training for SUI also trains the striated urethral sphincter and that improvement in incontinence signs and symptoms is associated with sphincter hypertrophy in older women with SUI. These findings support previous ultrasound (US) data showing an increase in urethral cross-sectional area following PFM training and extend the previous findings by more specifically assessing the area of hypertrophy and by demonstrating that older women present the same changes as younger women when assessed using MRI data.

Student’s Perception on the Personal Impact of a Social Education Degree Internship

The functional profile of the social educator is based on the development of theoretical, technical and personal/relational skills, which should guide training courses organization. Assuming the shortcomings of a merely theoretical approach, besides a consistent preparation in theoretical and essential technical contents for socio-educational intervention, practice in context should be favoured as an opportunity to develop professional skills, together with a critical reflection on the functional profile. This study emerges from the need to reflect and rethink the internship, as well as how the respective supervision is developed, of the degree in social education at the School of Education of the Polytechnic Institute of Viseu, and it is based on the students’ perceptions about the impact of the internship on personal development. This is a qualitative and exploratory study, using the documentary analysis of 50 final internship reports. From the content analysis, four categories emerged referring to gains in terms of acquiring and managing knowledge, development of technical skills, personal and relational development and reinforcement of professional identity. The importance given to personal and relational development should be noted (41.4% of mentions) taking into account its relevance in constructing a professional identity. Findings on the technical skills and on the increase of profession knowledge, also by mobilising theoretical training, positively reinforce the internship model that is based on a proximity supervision approach and on a dialogical perspective of the professional learning.

Changes in urethral sphincter size following rehabilitation in older women with stress urinary incontinence

Introduction and hypothesis The purpose of this study was to evaluate the effects of a pelvic floor muscle (PFM) rehabilitation program on the striated urethral sphincter in women over 60 years with stress urinary incontinence (SUI). We hypothesized that the PFM rehabilitation program would also exercise the striated urethral sphincter and that this would be demonstrated by hypertrophy of the sphincter on magnetic resonance imaging (MRI). Methods Women with at least weekly episodes of SUI were recruited. Participants were evaluated before and after a 12-week group PFM rehabilitation intervention with T2-weighted fast-spin-echo MRI sequences recorded in the axial plane at rest to assess urethral sphincter size. Data on SUI symptoms and their bother were also collected. No control group was included. Results Seventeen women participated in the study. The striated urethral sphincter increased significantly in thickness (21 %, p < 0.001), cross-sectional area (20 %, p = 0.003), and volume (12 %, p = 0.003) following the intervention. The reported number of incontinence episodes and their bother also decreased significantly. Conclusions This study appears to demonstrate that PFM training for SUI also trains the striated urethral sphincter and that improvement in incontinence signs and symptoms is associated with sphincter hypertrophy in older women with SUI. These findings support previous ultrasound (US) data showing an increase in urethral cross-sectional area following PFM training and extend the previous findings by more specifically assessing the area of hypertrophy and by demonstrating that older women present the same changes as younger women when assessed using MRI data.

Resolución 120 del 06 de agosto de 2012: ¿Qué es la convocatoria y cómo se evalúa este elemento esencial de las decisiones sociales por parte de la Cámara de Comercio?

Servicios registrales

La Puebla de los Pardos en el siglo XVII

ResumeExplica cómo participa la población negra, mulata y parda, asentada en la Puelbla de los Pardos, en toso los órdenes de la vida urbana de Cartago, la capital colonial de Costa Rica.AbstractAn explanation of how the black, mulatto, and “pardo” population of the Puebla de los Pardos participated in all aspects of urban life in the city of Cartago, the colonial capital of Costa Rica.

THE POLICY LANGUAGE OF THE PROJECT INTERCULTURAL BILINGUAL SCHOOLS OF BORDER OF THE MERCOSUR: SECOND LANGUAGE TEACHING FOR THE BORDER AREAS

The present work belongs to the Sociolinguistics area, specifically to the Linguistic Politics research line, and it aims to infer from the analyses of official documents the MERCOSUL linguistic politics to its region and to its frontiers answering the question “which linguistic politics motivates the implementation of the Frontier’s Intercultural Bilingual Schools Project?” It is unveiled, then, different linguistic politics that request different teaching strategies, involving or a foreign language teaching (in the large scope of Mercosul) or a second language teaching (in the restricted scope of MERCOSUL’s frontiers). By analyzing the Brazil-Argentina Bilateral Meeting Reports of the Frontier’s Intercultural Bilingual Schools Project (PEIBF) and the sociolinguistic diagnostics done by the teams of the two countries in theirs respective cities, it is shown how the lack of a larger systematization of the differences between the Mercosul linguistic politics can be characterized as a hindrance to the development of PEIBF, once some of the proposals made by the argentine team responsible for the PEIBF seems to go at the meeting of the foreign language teaching and not at the meeting of the second language teaching.