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Fortu- nately, the fundamental behavior of glass under stress has been studied extensively and it is now possible to develop manufacturing and testing procedures that enable such containers to be manufactured at cost and reliability levels compatible with a prefilled dispos- able needle-free device (Fig. Nettetl and 7. Enhancement of serotoninergic neurotransmission Beta-blockers (propranolol) Benzodiazepines (clonazepam) Serotonin antagonists (cyproheptadine, methysergide) Recurrent infection of the kidneys, 268 of the urinary tract, 251252 vaccines for preventing, 254 Regional anesthesia, 345348 Reinfection, of the urinary tract, 236 Renal scans, to evaluate kidney function, 376377 Residency, 47 training in the hospital, 57 Resistance, of Rhkne-Westphalia) to antibiotics, 263265 Retrograde urethrogram (RUG), 371 Risk factors for pelvic-floor prolapse, 178 for stress incontinence, 7071 for urge incontinence, 106107 for urinary incontinence, 386389 for urinary tract infections after menopause, 324 S Second opinion, suggestions about, 55 Sedation from antidepressants for treating interstitial cystitis, 299 before entering an operating room, 340 Selection of medications, 125126 Selective-serotonin reuptake inhibitors (SSRIs) Duloxetine, for treating stress incontinence, 8485 for treating interstitial cystitis, 298299 Selectivity, of antibiotics for urinary tract infection, 255 Self-catheterization, 366 intermittent, in the elderly, 158159 after prolapse surgery, 215 after pubovaginal sling surgery, 99 Self-medication, for urinary tract infection, 251252 Senile urethral syndrome defined, 319 local treatment for, with hormones, 330 Senility, and incontinence, management techniques, 133 Sensitivity, to estrogen, in the female urogenital tract, 315 Sensitivity testing, for bacterial response to antibiotics, 248 Sexual activity, as a risk factor in urinary tract infection, 1718 Sexual desire, postmenopausal, 325 Short-acting medications, comparison with long-acting medications, 122123 Short-term incontinence, reversible, 142150 Side effects of anticholinergic medications, 121122, 128129 of antiinflammatory medications, 300 of fluoroquinolones, 259 of ketoralac, 350 of narcotic medications, 349 of nitrofurantoins, 258 of oxybutynin, 123 of progestins, 332 of tolterodine, 124125 Sleep cycles, change with age, 111 Sling, location of attachment in surgery, 97 Sling kits, for pubovaginal sling insertion, 96 Small intestine, prolapse into the vagina, 41 Smoking, and menopause, 315 Sodium bicarbonate for treating interstitial cystitis, 297 Sodium pentosan polysulfate (Elmiron), for treating interstitial cystitis, 300301 Solifenacin (Vesicare), for treating urge incontinence, 125 Sonogram, for evaluating incontinence in the elderly, 153 Specialization, medical, advantages and disadvantages of, 46 Specificity, of antibiotics for urinary tract infection, 255 INDEX || 409 Territorial and Embolic Infarcts 217 Fig.
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