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V Y Johnson

Publications and source records attributed to V Y Johnson.

7 recordsLinked to original sources

How the principles of exercise physiology influence pelvic floor muscle training.

Clinicians have used pelvic floor muscle training as a behavioral treatment for urinary incontinence for the past 50 years. Various protocols for training these muscles have been tested. Evidence has shown that strengthening the pelvic floor muscle can diminish, and sometimes eliminate, involuntary urine loss. The purpose of this article is to describe the principles of exercise physiology and the role these principles play in shaping pelvic floor muscle training regimens. Fundamental content regarding lower urinary tract physiology, specific to the pelvic floor muscles, and muscle fiber differentiation is presented to provide the foundation for a case study description of pelvic floor muscle training within the framework of these principles.

Exercise Therapy↗

Urologic manifestations of postpolio syndrome.

To determine the character and prevalence of bladder dysfunction among persons with a history of polio, we conducted a survey of randomly selected polio survivors. The survey solicited information on the acute episode of polio and the nature of late-onset neurologic symptoms that could be attributed to postpolio syndrome. There were 242 female and 88 male respondents to the study. Symptoms attributable to postpolio syndrome were present in 87.2% of female subjects and 73.9% of male subjects. Respondents with postpolio syndrome had a significantly greater prevalence of urologic symptoms than seen among respondents without postpolio syndrome, although no dominant pattern of voiding dysfunction was noted. The early onset of erectile dysfunction was more common among male subjects with postpolio syndrome than among male subjects without postpolio syndrome. Genuine stress incontinence was seen in 36.3% of the survey population. Sixteen women with postpolio syndrome underwent surgical repair for urinary incontinence, with a success rate of 60.5%. Bladder disorders are common among persons with PPS, but further clinical and urodynamic data are necessary to define the nature and magnitude of this dysfunction.

Adult↗

Urinary incontinence: a review.

Urinary incontinence is underestimated in occurrence, overemphasized in relation to gender and age, and lacks clarity in terms of classification and treatment. This article provides a review of the literature concerning the concept of urinary incontinence, including a comprehensive description of the mechanisms involved in the physiology of continence and pathophysiology of incontinence. The psychosocial and economic effects of urinary incontinence are addressed, as well as urinary dysfunction in selected populations with cognitive or neurologic impairments.

Humans↗

The spontaneous generation of nurses.

1. Executive decisions for multimillion dollar service/physical expansion without regard to available personnel resources widens the nursing shortage gap. 2. Marketing strategies highlighting innovative delivery systems that enable nurses to return to the bedside potentially boost recruitment efforts. 3. Staff nurse autonomy and sound clinical judgement must be role modeled by nurse executives who have an influence in the organizational structure. Access to and ability to communicate with governing bodies is antecedent to productivity and professional image in nurse executives. 4. Growth-focused mentality in the area of services and bed capacity coupled with a "spontaneous generation" concept for provision of nursing personnel results in decaying staff morale.

Humans↗