Ingrid Richards

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OBJECTIVE To compare the effects on asthma morbidity of asthma clinics based in general practice with standard general practice care. DESIGN AND SETTING A randomised controlled trial in eight general practices. Patients, general practitioners and outcomes assessors were not blinded to treatment allocation. PARTICIPANTS 195 patients with asthma aged 5-64(More)
The tethered spinal cord is an entity with potentially grave neurourological implications. Presenting urological symptoms include incontinence, symptomatic urinary tract infections and stool soiling. These symptoms may be the first to herald a tethered cord. The patients with previously repaired myelodysplastic defects are particularly prone to development(More)
PURPOSE Currently the relationship between bladder capacity and age in children with myelomeningocele is inadequately understood, such that nomograms derived from neurologically normal children are inappropriately applied to the myelodysplastic population. The aim of the present study was to evaluate age related bladder capacity and bladder capacity growth(More)
PURPOSE Intravesical electrotherapy was previously shown to be effective for improving bladder capacity and compliance. We evaluated our 22-year experience with this therapy in patients with neurogenic bladder. MATERIALS AND METHODS The charts of 405 patients who received intravesical electrotherapy were reviewed. Cystometrograms were performed at the(More)
PURPOSE We attempted to evaluate the efficacy of transrectal bowel stimulation for neurogenic bowel dysfunction in children with myelodysplasia. MATERIALS AND METHODS Daily sessions of transrectal electrostimulation were performed on an outpatient basis for 2 to 3 weeks on children with myelodysplasia and stool incontinence. If benefits were noted, 5 to(More)
PURPOSE We evaluated the urodynamic findings in myelodysplastic children with the tethered cord syndrome without urological symptoms to determine if occult bladder changes occur or if routine preoperative urodynamic evaluation is not indicated for this select population. MATERIALS AND METHODS Preoperative and postoperative urodynamic studies were(More)
OBJECTIVE To determine the diagnostic breakdown and comorbid patterns of 100 consecutive cases referred for psychiatric consultation at juvenile detention centres, and to compare diagnoses according to gender and legal status. METHOD Diagnoses were made at the time of an initial semi-structured clinical interview, and reviewed after follow-up. RESULTS(More)
Intravesical transurethral bladder stimulation is a rehabilitative and diagnostic technique for the neurogenic bladder. The goal of therapy is 3-fold: 1) to achieve the sensation of bladder filling or the urge to void, 2) to initiate a detrusor contraction and 3) to achieve conscious urinary control. The procedure combines direct electrical stimulation of(More)
Recent successful introduction of selective rhizotomy in the management of lower extremity spasticity in patients with myelodysplasia has prompted us to use it as a means of managing high pressure neurogenic bladders occasionally encountered in myelodysplastic patients. During the last 1 1/2 years 8 children have undergone selective sacral rhizotomy in an(More)
PURPOSE We assessed clinical use of the URISCREEN test for detecting significant bacteriuria in children and compared it to standard quantitative culture. MATERIALS AND METHODS URISCREEN detects catalase in urine samples, reflecting the presence of at least 50,000 colony-forming units per ml. or 10 somatic cell per high power field. Catheterized urine(More)