Silvitra

Roberta Lattes, M.D.

• Assistant Professor Infectious Diseases
• Department of Medicine
• University of Buenos Aires ?School of Medicine
• Chief
• Departement of Transplantation
• Transplant Infectious Disease
• Instituto de Nefrolog?a
• Buenos Aires, Argentina

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However, exit bilaterally at the inferior pole of the superior numbers were too small to draw inal conclusion. It is essential and fear have been hypothesized, together with fear of to anticipate this complication in young men with demise and castration, fear of lack of self resulting testicular tumors who may need chemotherapy or from lack of semen, fear of castration by the feminine node dissection. Arrangements should be made genitals, fear that ejaculation would harm the female, for sperm collection and storage on the earliest worry of being hurt by the feminine, efficiency nervousness, alternative before therapy commences. Excellent unwillingness to give of oneself as an expression of results can be obtained with artiicial insemination love, worry of impregnating the feminine, and guilt sec-- using cryopreserved spermatozoa [407]. Appropriate essential for studying to ejaculate or could end result assessment requires an appreciation of how these in an inhibition of normal perform. Regardless of factors combine to find out the inhibited ejaculatory speciic religion concerned (Muslim, Hindu, Jewish, response for any particular particular person. Some of these males Among these components which are psychogenic and/or masturbated for a interval of years like their secular behavioral, a variety of possibilities have been counterparts, but guilt and nervousness about �spilling proposed. These males explanations have received more help than oth-- often had little contact with ladies previous to marriage ers, and a few seem more plausible than others. Many completely different manifestations of tension girls often relected a �Madonna-whore� split. And inally, the evaluative/efficiency aspect a relative absence of subjective arousal [367]. This same course of is the likely explanation for in-- cues that normally serve to reinforce arousal [433]. These males confused their a man has dificulty with ejaculation, or has a small erect state as an indication of sexual arousal when volume or absent ejaculate, it must irst be estab-- it merely indicated vasocongestive success [2, 431]. The course of the problem is documented, strain,length,andintensitynecessarytoproduce and variables that enhance or worsen efficiency an orgasm, but dissimilar to what they experienced are famous.

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Some sufferers might respond to psychosocial Lists of local conferences to provide to sufferers could be interventions and others to medication therapy obtained from http://www. Contact counseling, and mutual-assist groups�are info for several teams that could be complementary; they address completely different aspects of useful to patients and their households is supplied in alcohol use disorder: neurobiological, Appendix B. Offering the total vary Addressing Co-Occurring Disorders of effective therapies increases patient selection and the potential for a optimistic consequence, as no Research studies present that the most effective 7 method to treat co-occurring problems is through single strategy is universally profitable. Psychosocial any mechanism by which treatment interventions therapies can enhance adherence to the for a number of co-occurring problems are delivered therapy plan, together with use of prescribed inside the context of a major treatment drugs, and thus enhance therapy relationship or service setting. Conversely, to the extent that they co-occurring acknowledges the necessity for a unified scale back craving and assist sufferers keep treatment approach to fulfill the substance use, abstinence, medicines might assist sufferers be psychological well being, and related needs of a patient 2,28 2 extra receptive to psychosocial interventions. Almost all studies of medications for the Integrated therapy assumes that each dysfunction therapy of alcohol use dysfunction have included is primary and in need of simultaneous care. In addition, the patient may need psychosocial therapies onsite, most clinicians assistance with acquiring a referral, securing an have to refer patients for particular person or group initial appointment inside a reasonable time 2 frame, and addressing issues with well being remedy. Encouraging Participation in Mutual-Help When medication administration and dependancy Programs. The assist of a mutual-assist group treatment providers are delivered by separate may be helpful to lengthy-term recovery. The oldest, suppliers, shut coordination and integration of greatest recognized, and most accessible mutual-help companies is important. Empirical validation of the worth of treatment- Treating Older Adults assisted remedy in adolescents is lacking. Therefore, youthful adolescents in social issues that enhance the chance of need of therapy should be referred to a hospitalization, nursing house placement, and clinician or program specializing in adolescent 41,42,forty three 1,33 death. In reality, analysis has not common amongst older adults, similar to recognized any safe level of ingesting throughout 38 despair or dementia. Use of alcohol during pregnancy might lead to miscarriage, stillbirth, or untimely Pharmacotherapies for alcohol use disorder delivery. Complications seen in the toddler may appear to be as effective and secure for older embrace fetal alcohol syndrome or fetal alcohol adults as for youthful adults. Pregnant or nursing patients ought to be referred to an 12 Medication for the Treatment of Alcohol Use Disorder: A Brief Guide As a end result, the next components need to be Mechanism of Action. The disulfiram response considered when prescribing pharmacotherapy to is caused by a blockade of aldehyde forty five,forty six older adults: dehydrogenase, which causes an accumulation of acetaldehyde when alcohol is ingested.

Syndromes

• Painkillers (analgesics)
• Stuffy nose
• Inflammatory bowel disease
• Oxygen thearpy at home
• Mycobacterial culture of bone marrow or blood
• Acetaminophen (Tylenol) for mild pain. Avoid drugs such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn) which can make your symptoms worse.

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Dapoxetine�s commonest side effects embrace feeling sick, headaches and dizziness. If you wish to begin a confdential on-line consultation for Priligy, please click on right here. Topical anaesthetics and condoms Some topical anaesthetics similar to prilocaine and lidocaine may be efficient, but they can be transferred to the vagina and subsequently diminish a girl�s sexual sensation and satisfaction. Condoms are an effective and proven means to help forestall premature ejaculation and work particularly well when mixed with local anaesthesia. Self-assist strategies the �cease-start� methodology Here, the person stimulates his penis till he nearly ejaculates, permits it to abate, then begins once more, repeating several occasions if needed. The �squeeze� method A technique whereby the person stimulates his penis till he has the urge to ejaculate, then stops and squeezes the pinnacle of the penis until the desire and sensation diminishes. Counselling and therapy Both partners can beneft immensely from sexual remedy, relationship and psychological counseling. This can embody techniques for delaying and preventing ejaculation, as well as workouts which reduce stress and enhance leisure. Visit the College of Sexual and Relationship Therapists website to fnd suitable counselling in your space. It�s a medical situation and no person�s fault, so dealing with it collectively is the easiest way ahead. There are muscle tissue down there Frequent visitors to the local health club will know that your muscular tissues will be underdeveloped should you don�t consistently train. Lack of sleep ends in low serotonin levels within the mind, and the lower levels prompt your body to ejaculate more quickly. Consultation If you would like a confdential on-line consultation regarding premature ejaculation, please click right here. The activating elements end up differing forms of derangements that instantly or not directly cause sexual dysfunctions.

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The potential roles of the afferent and efferent systems, as well as central control mechanisms, are necessary avenues for future research. Electrotherapy remains experimental, and a transcutaneous technique could be extra acceptable than trans-urethral. Detrusor myoplasty is doubtlessly an possibility for youthful sufferers that accept the danger of surgical morbidity, but expertise with this process is presently restricted to a small variety of teams worldwide. Incidence and development of lower urinary tract signs in a large prospective cohort of United States males. A shifted paradigm for the additional understanding, analysis, and therapy of lower urinary tract signs in men: focus on the bladder. Prevalence and scientific options of detrusor underactivity among elderly with decrease urinary tract signs: A comparison between women and men. Lower urinary tract signs in younger men: videourodynamic findings and correlation with noninvasive measures. Impaired detrusor contractility in community-dwelling elderly presenting with lower urinary tract signs. The pathophysiology of urinary incontinence among institutionalized aged individuals. Assessment of the poorly contractile or acontractile bladder in the older male within the absence of neuropathy. Re: detrusor underactivity: a plea for brand new approaches to a common bladder dysfunction. Detrusor underactivity: a plea for brand spanking new approaches to a standard bladder dysfunction. Contractility of vascular smooth muscle: most capacity to contract in response to a stimulus. Urodynamic findings suggesting two-stage development of idiopathic detrusor underactivity in adult males. The pure historical past of decrease urinary tract dysfunction in men: minimal 10-yr urodynamic comply with-up of untreated detrusor underactivity. Bladder outlet obstruction versus impaired detrusor contractility: the position of outflow. The evaluation of prostatic obstruction from urodynamic measurements and from residual urine.

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A four-year replace prostheses within the administration of impotence in sufferers on the safety of sildenafil citrate (Viagra). Sildenafil for selective serotonin reuptake inhibitor- Setter S M, Iltz J L, Fincham J E et al. Phosphodiesterase 5 induced erectile dysfunction in elderly male depressed inhibitors for erectile dysfunction. J Gen Not an unique study, or population of interest, intervention Intern Med 2006;21(10):1069-1074. Sildenafil and erectile dysfunction: new effects of sildenafil citrate (Viagra): a naturalistic cross-over preparation. Johns for 1 12 months with a permeation enhanced testosterone Hopkins Medical Letter, Health After 50 2002;14(10):four-5. Bioavailable testosterone should be used for the determination of androgen levels in Anonymous. Journal of Diabetes & Vascular Disease 2003;three(6):444 Atmaca M, Kuloglu M, Tezcan E. Can Pharm J 2001;267(7155): utilizing loratadine for the therapy of sexual dysfunction associated with selective serotonin Anonymous. Int J Impot Res Vasoactive intracavernous pharmacotherapy for impotence: 2000;12(1):33-forty. Vasoactive intracavernous pharmacotherapy for impotence: Hillside J Clin Psychiatry 2004;sixty five(1):ninety seven-103. Nephrology essential arterial hypertension and effects of sildenafil: outcomes of Dialysis Transplantation 2000;15(10):1525-1528. Effectiveness of citrate for penile hemodynamic determination: an vardenafil versus papaverine in penile Doppler ultrasonography. Hemodynamic results of sildenafil citrate (Viagra) on segmental branches of bilateral Bach Amy K, Barlow David H, Wincze John P E. International Urology & Nephrology enhancing results of manualized therapy for erectile 2005;37(4):785-789.

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The clitoris is supplied by the conveyed by afferent pathways consisting of ileohypogastric pudendal arterial bed. After the pudendal, pelvic and hypogastric nerves and inner iliac artery has given off its last anterior the lumbosacral sympathetic chain. They relay branch, it traverses Alcock�s canal and terminates info to the dorsal horn, medial central because the common clitoral artery, which gives off the and lateral grey matter of the lumbosacral spinal clitoral cavernosal arteries and the dorsal clitoral wire, and the vagal afferent ibers convey sensory artery (Figure 13B). The A great number of neurotransmitters/mediators distal part of the vagina is supplied by the middle and receptor sorts have been demonstrated in hemorrhoidal and clitoral arteries. Secondly in our understanding as central nervous activation leading to elevated of potential disruption of neural pathways throughout blood low to the genitals. It is at this are composed of erectile as well as non-erectile tis-- degree that damage to the autonomic ibers of the vagina, sues with erectile tissue demonstrating the best labia and cervix might happen throughout hysterectomy. Image A is obtained with topic at relaxation and image B is during arousal while subject views an erotic video in magnet. Note adjustments of engorgement with increased measurement and sign depth of clitoris and bulbs on the aroused picture in B. B = clitoral physique; C = clitoral crus; Bu = vestibular bulbs; V = vagina; U = urethral meatus and R = rectum. If their resistance to in-- mainly closed [162] but show proof of vasomotion sertion is greater than the buckling pressure of the [163] the random opening and shutting depending penile erection, normally quoted as an axial pressure on native tissue wants (as described beforehand). However, a cavernosa (eNoS) relaxing the sleek muscle of the pilot examine [159] that used tampons in the vagina to cavernous sinuses [one hundred sixty five-173]. During sexual arousal prevent any luid leaking out on to the labia found that the central discount of sympathetic tone and the sexual arousal nonetheless brought on labial lubrication, strongly release of the 2 vasodilator neurotransmitters indicating that the labia could truly kind their very own create an increase in the blood low to the clitoris lubricative luid presumably by plasma transudation and relaxes the smooth muscular tissues of the cavities in the just like that produced by the vagina throughout arousal clitoris so that they turn out to be illed with blood and the (see particulars within the subsequent part on vaginal lu-- organ turns into vasocongested. Under basal Surprisingly, the vibration sensitivity of the clitoris situations the blood vessels within the clitoris have is known to decrease throughout and instantly after a high tone (by way of sympathetic activity) and are arousal [176] a function much like the tumescent 09 comitte 22. No satisfactory clarification for the b) Vagina: microcirculation in the aroused genital decreases in response to vibration has yet condition been proposed. At the beginning of sexual arousal the blood supply Data concerning the correlation between the to the vagina is minimal due to the high sympathetic measured diploma of physiologic engorgement and vasomotor tone and vasomotion as detailed within the the subjective degree of arousal have been blended. Then, usually inside seconds of There has been a non-signiicant trend suggesting an acceptable or consensual sexual stimulus, the correlation between these two measures however additional central sympathetic tone is lowered and the arterial studies are wanted to validate this [156].

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Eight trials 334,335,342,346,348,351-353 have been placebo controlled and one trial used lively treatment as 347 comparator. Other self-reported outcomes 334,335,342,352 associated to erection had been assessed in 4 trials One trial assessed and reported only 353 rigidity measures (RigiScan). These records were seven case 354-359,363 361,362 360 stories , two case series , and one retrospective cohort study. In all cases except for one, the administered minimum dose of sildenafil was 50 mg. Injection Treatments Penile Fibrosis (Non-randomized studies: observational research and medical trials) In complete, 20 non-randomized research (retrospective observational cohort, and clinical trials) reporting the absence or presence of penile fibrosis in long-term followup (at least 6 months) met 364-383 the eligibility standards for inclusion in the evaluation (in 20 publications). Of these, 13 have been 364-366,368-371,376-378,380,381,383 clinical trials of potential design and 7 had been retrospective 367,372-375,379,382 cohort research. The majority of the research subjects had been middle aged (mean age range: 50-62 years). Four trials included 366,369 381 particular inhabitants subgroups such as sufferers identified with diabetes, multiple sclerosis, 367 and prostate most cancers followed by prostatectomy. Papaverine alone or together with 366,367,369,371,373,374,376,377,379-383 phentolamine (or verapamil) was evaluated in 13 studies. For example, one retrospective cohort examine in Australian males reported an incidence of fibrosis in fifty seven of the 245 patients (23. Only one of many 108 topics developed fibrosis (the assigned intervention not reported). Strength of the Evidence Erectile dysfunction is a complex situation associated to psychosocial and organic elements. It is troublesome to reliably document and measure the diploma of therapy success in sufferers recognized with this condition.

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Desc: diabetes zero%, hypogonadism zero%, publish-prostatectomy zero%, spinal twine Rx: vardenafil 40 injury 0%, Grp: 90 Placebo age: forty four. Desc: diabetes 0%, hypogonadism 0%, submit-prostatectomy zero%, spinal twine Rx: Placebo 20 damage zero%, 758008 Porst, H. The efficacy and tolerability of vardenafil, a new, oral, selective phosphodiesterase type 5 inhibitor, in sufferers with erectile dysfunction: the first at-house medical trial. Desc: diabetes zero%, hypogonadism zero%, neurogenic 0%, publish-prostatectomy Rx: vardenafil 10 zero%, spinal wire damage 0%, Grp: 2 20 mg Vardenafil age: 34. Desc: diabetes zero%, hypogonadism 0%, neurogenic zero%, post-prostatectomy Rx: vardenafil 20 zero%, spinal cord injury 0%, Grp: ninety Placebo age: 34. Desc: diabetes zero%, hypogonadism 0%, neurogenic zero%, publish-prostatectomy Rx: Placebo 10 zero%, spinal wire injury zero%, 796006 Thadani, U. Desc: natural sixty one%, psychogenic 7%, combined 33%, diabetes sixteen%, Rx: vardenafil 5 Grp: 1 Vardenafil 5 mg age: fifty seven(18,) duration: three. Desc: organic sixty one%, psychogenic 7%, combined 33%, diabetes sixteen%, Rx: vardenafil 5 Lost: /22/ Discontinued: /seventy seven/ Discont. Desc: organic 59%, psychogenic 7%, mixed 34%, diabetes 18%, Rx: vardenafil 10 Lost: /20/ Discontinued: /fifty five/ Discont. Desc: organic 59%, psychogenic 7%, mixed 34%, diabetes 18%, Rx: vardenafil 10 Grp: 2. Desc: Rx: vardenafil 10 Copyright � 2005 American Urological Association Education and Research, Inc. Desc: natural 60%, psychogenic 7%, blended 33%, diabetes 20%, Rx: vardenafil 20 Grp: three Vardenafil 20 mg age: 58(18,) period: 4. Desc: natural 60%, psychogenic 7%, mixed 33%, diabetes 20%, Rx: vardenafil 20 Lost: /14/ Discontinued: /59/ Discont. Desc: organic fifty four%, psychogenic 9%, mixed 37%, diabetes 19%, Rx: Placebo Lost: /28/ Discontinued: /106/ Discont. Desc: Rx: Placebo Copyright � 2005 American Urological Association Education and Research, Inc. Therapeutic results of high dose yohimbine hydrochloride on organic erectile dysfunction. Desc: organic 100%, Rx: yohimbine 100T Grp: ninety Placebo age: fifty eight(28,sixty nine) period: Pts: 22 Pt.

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Looking on the neuromodulators, along with func-- Al-Hijji J, Larsson B, Batra S. Nitric oxide synthase within the rab-- tional adrenergic alpha-1 and -2 receptor subtypes bit uterus and vagina: hormonal regulation and functional signiicance. Am J Physiol Regul Integr this context and in additional research, tissue oxygen and Comp Physiol. Smooth muscle myosin heavy chain and caldesmon expression in the an-- instruments to assist in the hemodynamic evaluation of sexual terior vaginal wall of ladies with and without pelvic organ functioning (Min K et al. The greater expression of oxide synthase in the male reproductive tract of the rat. Fer-- myosin heavy chain isoform within the proximal vagina til Steril 1995; sixty three:1101-7. Culture tics in comparison with the tonic sort in the distal vagina and identiication of human and rabbit corpus cavernosum (Basha M et al. However, risk to structural integrity channels and hole junctions: their role in erectile physiology, can be an essential issue in the female. Isolation of two isoforms of phosphodies-- muscle and endothelial cells seeded on collagen matrices. Proteomic analysis of rat penile tissue in a model of erec-- Garban H, Marquez D, Magee T, Moody J, Rajavashisth T, Ro-- tile dysfunction after radical prostatectomy. Effect easy muscle cells by vardenail, a novel, selective phos-- of muscle-derived stem cells on the restoration of corpora phodiesterase type 5 inhibitor. Reconstitu-- of practical muscarinic acetylcholine receptor subtypes in tion of human corporal clean muscle and endothelial cells human corpus cavernosum and in cultured smooth muscle in vivo. Sildenail corporeal smooth muscle cell tone: diabetes and relaxation inhibits phosphodiesterase sort 5 in human clitoral corpus of human corpus cavernosum clean muscle by adenosine cavernosum clean muscle. Evidence that osteogenic progenitor of gene expression proiles between Peyronie>s disease cells in the human tunica albuginea could originate from and Dupuytren>s contracture. Rabbit corpus cavernosum smooth muscle exhibits a different phosphodiesterase proile Waldkirch E, Uckert S, Sigl K, Imkamp F, Langnaese K, Richter than human corpus cavernosum.

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Introduction This document supplies an outline of outpatient prescription drug coverage policies underneath Medicare. Typically, the cost for medication is 5 bundled into the Medicare Part A payments made to most of these services. Under the hospice benefit, beneficiaries receive drugs which are medically essential for symptom management or for ache relief. In basic, references are seen to 5 main categories of Medicare Part B drug spending: 1. Regional differences in Part B coverage insurance policies for medicine can occur within the absence of a nationwide protection decision. Medicare bundled payments made to hospitals and expert nursing services generally cover all medication supplied during a stay. Drugs utilized in immunosuppressive remedy (such as cyclosporine) for a beneficiary who has obtained a Medicare covered organ transplant. Hemophilia clotting components for hemophilia patients competent to make use of such components to manage bleeding with out medical supervision, and gadgets associated to the administration of such elements. Oral anti-nausea medication used as part of an anti-cancer chemotherapeutic routine as a full therapeutic replacement for an intravenous anti- emetic drug within forty eight hours of chemotherapy administration. The vaccine and its administration when furnished in compliance with any applicable state regulation. The beneficiary might receive the vaccine upon request without a physician�s order and with out physician supervision. The physician or physician�s nurse typically administers them within the doctor�s office. In some cases the physician prepares antigens and furnishes them to a affected person who has been taught to self-administer them at house.

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Connor, 36 years: However, longitudinal research have proven that not all childhood gender dysphoria is associated with a trans- This article additionally critiques recent advances, corresponding to integrating psy- 15 gender end result. These two sources provide related though not iden-- tical conceptual frameworks for classifying an indi-- Antidepressants. The efficacy of tadalafil prosthetic surgery within the remedy of erectile in medical populations.

Einar, 37 years: If a partner or carer is providing ongoing care, respite care could be thought of. Erratum: phosphodiesterase inhibitor remedies for erectile dysfunction Efficacy and safety of on- demand oral tadalafil in the improve testosterone levels. Staying engaged in a program of rehabilitation can help men keep dedicated to recovery of their sexual high quality of life, and use of the medicines may help to facilitate sexual exercise in the course of the recovery process.

Jens, 47 years: Vardenafil has been shown to have vasodilating cardiovascular activity in canines, resulting in decreased mainly systolic blood strain, and elevated heart rate. That males�s decrease contact charges with main care companies are offset by larger hospitalisation charges (Juel & Christensen, 2007) and when males do avail of primary care services, consultation occasions are likely to be shorter than for ladies, and males tend to ask fewer questions (Courtenay, 2000). Does perioperative consequence of transurethral holmium laser enucleation of the prostate depend on prostate size?

Chenor, 31 years: If you watch a sleeping new child, you will see the kid�s entire belly rise and fall with each breath. When the low want is healthier ac-- sexual want and many different domains of sexual re-- counted for by despair, poor physique picture, sexual sponse and temper [296] (Level three). Am J Ophthalmol 2006;141(3):598 controlled examine on erectile dysfunction treated by trazodone.

Vandorn, 46 years: To date N = 19 youth have been haviors and thus workers�s risk of injury so was omitted. Animal-based protein foods embody seafood, that can facilitate weight reduction or help with keep- meat, poultry, eggs, and milk and milk merchandise. Luxembourg: Publications Office of the European Union 83 Eurostat (2009b) Reconciliation between work, non-public and household life in the European Union.

Phil, 29 years: Early combination remedy: intracavernosal injections and sildenafil following Ohebshalom M, Mulhall J P. Fibrosis was found to be more common (5-10%) if papaverine was used (depending on total dose). The common annual income of residents is slightly greater than the nationwide average.

Kliff, 64 years: Niels Cor- des, head of the group �Molecular and Cellular Radiobiology� at the National Center for Radiation Research in Oncolo- gy at the University Hospital of the Tech- nical University of Dresden. Transgender girls of color face terribly excessive rates of social and health disparities. In such instances bleeding urethrography may be used pre-operatively to is often not an issue as a result of lack of huge 808 comitte 16.

Seruk, 63 years: For nearly all of them, this meant demise throughout the subsequent In Auschwitz I had laid down a rule for myself which fortnight. Sexual symptoms include improvement through the psychosexual phases and the Oedipal spousal alienation, changes in sexual patterns such as elevated Complex [7]. Importantly, we wish you to know that the Department will work to help you during this situation and that you may attain out to us at any time to talk about individual conditions.

References

• Wagg A, Gibson W, Ostaszkiewicz J, et al: Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence, Neurourol Urodyn 34:398n406, 2015.
• Reckless JP, McColl I, Taylor GW: Aorto-enteric fistulae: An uncommon complication of abdominal aortic aneurysms. Br J Surg 59:458, 1972.
• Battle DG, Mozes MF, Manaligod J, et al. The pathogenesis of hyperchloremic metabolic acidosis associated with kidney transplantation. Am J Med. 1981;70:786-796.
• Sewell AC, Pontz BF. Prenatal diagnosis of galactosialidosis. Prenat Diagn 1988;8:151.
• MCHENRY MC et al: Vertebral osteomyelitis: Long-term outcome for 253 patients from 7 Cleveland-area hospitals. Clin Infect Dis 34:1342, 2002.
• Coyne KS, Tubaro A, Brubaker L, et al: Development and validation of patient-reported outcomes measures for overactive bladder: a review of concepts, Urology 68(2 Suppl):9-16, 2006.
• Johnson W, Lozner EC, Johnson S, et al: Coronary angiography 1984: A report of the Registry of the Society for Cardiac Angiography and Interventions. I. Results and complications, Cathet Cardiovasc Diagn 17:5, 1989.
• Kader A, Goodrich JT, Sonstein WJ, et al. Recurrent cerebral arteriovenous malformations after negative postoperative angiograms. J Neurosurg 1996;85:14-18.