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Fetal Abdominal Circumference

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241. Performance of third trimester ultrasound for the prediction of the small for gestational age fetus and evaluation of contingency screening policies. (Abstract)

Performance of third trimester ultrasound for the prediction of the small for gestational age fetus and evaluation of contingency screening policies. To assess the performance of third-trimester fetal biometry and fetal Doppler studies for the prediction of small-for-gestational-age (SGA) neonates, and to explore contingency strategies using a first-trimester prediction model based on maternal and fetal parameters and third-trimester ultrasound.This was an observational cross-sectional study (...) (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL)) and umbilical artery (UA) and middle cerebral artery Doppler studies were performed routinely in a subgroup (n = 2310). Reference ranges for birth weight were constructed using the cohort of 4702 women, and neonates were classified as small (SGA, ≤ 5th centile) or appropriate (AGA) for gestational age. First-trimester, third-trimester and integrated first- and third-trimester prediction models for SGA were

2011 Ultrasound in Obstetrics and Gynecology

242. Bariatric surgery in Belgium: organisation and payment of care before and after surgery

of healthcare professionals 157 8 Bariatric surgery in Belgium KCE Report 329 Table 22 – Long term supplementation after bariatric surgery according to Farmaka 2016 49 and BMS 2015 50 162 Table 23 – Effects of bariatric surgery on maternal and foetal outcomes (EASO 2017) 38 163 Table 24 – List of 2014 not reimbursed costs for which reimbursement was requested according to BASO Currently not reimbursed costs for which reimbursement is requested in the future (minimal number of visits) 172 Table 25 – Data (...) care professional IMA-AMI Non-profit organisation that manages and analyses information on all reimbursements related to the compulsory health insurance LAGB Laparoscopic adjustable gastric banding MBS metabolic and/or bariatric surgery 10 Bariatric surgery in Belgium KCE Report 329 MDT multidisciplinary/interdisciplinary team NICE National Institute for Health and Care Excellence NOK ‘The Nederlandse Obesitas Kliniek’, Dutch Obesity Clinic OECD The Organisation for Economic Co-operation

2020 Belgian Health Care Knowledge Centre

243. Cerebral palsy in under 25s: assessment and management

to Notice of rights ( conditions#notice-of-rights). Page 24 of 46non-specific back pain headache non-specific abdominal pain dental pain dysmenorrhea. Assessment Assessment 1.13.4 T ake into account that parents and familiar carers have a key role in recognising and assessing pain, discomfort and distress in children and young people with cerebral palsy. 1.13.5 When assessing pain in children and young people with cerebral palsy: recognise that assessing the presence

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

244. Evaluation of Intra-Abdominal Fat in Patients With Type 2 Diabetes Using a Non-Invasive Method

Diabetes Center Information provided by (Responsible Party): Osama Hamdy, Joslin Diabetes Center Study Details Study Description Go to Brief Summary: The main aim of this study is to compare 2 different measurements of visceral fat that can be easily used in clinical practice (waist circumference versus bioelectric impedance) in relation to known risk factors of coronary artery disease in a large cohort of patients with type 2 diabetes and with a BMI range between 20-45 kg/m2 Condition or disease (...) Evaluation of Intra-Abdominal Fat in Patients With Type 2 Diabetes Using a Non-Invasive Method Evaluation of Intra-Abdominal Fat in Patients With Type 2 Diabetes Using a Non-Invasive Method - Full Text View - Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2011 Clinical Trials

245. Fetal alcohol syndrome Full Text available with Trip Pro

Fetal alcohol syndrome Fetal alcohol spectrum disorder - Wikipedia Fetal alcohol spectrum disorder From Wikipedia, the free encyclopedia (Redirected from ) "FASD" redirects here. For other uses, see . Fetal alcohol spectrum disorders Baby with fetal alcohol syndrome. , , Symptoms Abnormal appearance, short height, low body weight, , poor coordination, low intelligence, behavior problems Duration Long term Causes Drinking during Based on symptoms Prevention Avoiding drinking alcohol during (...) pregnancy Treatment , efforts to modify child behavior, possibly medications Frequency 2–5% (US, EU) Fetal alcohol spectrum disorders ( FASDs ) are a group of conditions that can occur in a person whose mother drank during . Problems may include an abnormal appearance, short height, low body weight, , poor coordination, low intelligence, behavior problems, and or . Those affected are more likely to have trouble in school, legal problems, participate in high-risk behaviors, and have trouble with alcohol

2012 Wikipedia

246. Determination of Gestational Age by Ultrasound

and 14th weeks, crown–rump length and biparietal diameter are similar in accuracy. It is recommended that crown-rump length be used up to 84 mm, and the biparietal diameter be used for measurements > 84 mm (II-1 A). 4 If a second- or third-trimester scan is used to determine gestational age, a combination of multiple biometric parameters (biparietal diameter, head circumference, abdominal circumference, and femur length) should be used to determine gestational age, rather than a single parameter (II-1 (...) for aneuploidy. A national algorithm for the assignment of gestational age may reduce practice variations across Canada for clinicians and researchers. Potential harms include the possible reassignment of dates when significant fetal pathology (such as fetal growth restriction or macrosomia) result in a discrepancy between ultrasound biometric and clinical gestational age. Such reassignment may lead to the omission of appropriate—or the performance of inappropriate—fetal interventions. Summary Statements 1

2019 Society of Obstetricians and Gynaecologists of Canada

247. Macrosomia

published formulae for estimating fetal weight with ultrasonography, and none was superior to the others in a clinically meaningful way (98). Another large study that evaluated 21 formulae found considerable variation in sensitivity (14–99%) and specificity (64–99.8%), but estimates based on three or four biometric parameters performed better than esti- mates based on the abdominal circumference alone (99). In addition to inaccuracy, ultrasonographic determi (...) , 23). Newborns who are macrosomic because of maternal glucose intolerance tend to have more total body fat, larger shoulder and upper- extremity circumferences, higher upper-extremity skin-fold measurements, and smaller head-to- abdominal-circumference ratios compared with macro- somic newborns of women without diabetes. It has been suggested that this altered fetal body shape is responsible for the higher incidence of shoulder dys- tocia seen among newborns of women with diabetes (23). Regardless

2020 American College of Obstetricians and Gynecologists

248. Disorders of the Hepatic and Mesenteric Circulation Full Text available with Trip Pro

, abdominal pain is the most common presentation of acute MVT. Other common associated symptoms include nausea, vomiting, fever, anorexia, and jaundice ( ). The development of fever, abdominal tenderness, ascites, absence of bowel sounds, and laboratory abnormalities such as leukocytosis or increasing lactate levels should raise the suspicion for compromise of intestinal circulation with development of intestinal infarction or gangrene ( ). Patients with chronic MVT may present with complications of PH (...) structures in the area of portal vein, with nonvisualization of the main portal vein ( ). Contrast-enhanced CT scan of the abdomen is approximately 90% accurate in the diagnosis of acute or chronic MVT; accuracy increases with use of multidetector CT scan technique and thin slices of scans ( ). Associated features of thickened bowel wall and mesentery, indistinct bowel wall margins, and ascites raise suspicion for intestinal infarction or gangrene ( ). MRI is an alternative to CT scans to evaluate

2020 American College of Gastroenterology

249. European Society of Endocrinology Clinical Practice Guideline: Endocrine work-up in obesity

to calculate BMI, as obesity is an important condition that often remains undiagnosed. For routine care defining obesity as BMI >30 kg/m 2 is sufficient as first diagnostic measure. Measuring waist- circumference can provide additional information especially if BMI 30.0 kg/m 2 ) throughout this guideline. The main reason is that BMI is easily calculated in clinical practice and also because there are currently no data showing that more sophisticated methods are more useful to guide the endocrine work-up (...) 182:1 G7 Clinical Practice Guideline R Pasquali and others ESE Guidelines on Endocrine work-up in obesity 3.6. Description of search and selection of literature A literature search of electronic medical databases was performed. We only considered papers with >10 patients included, as obesity is not a rare condition and studies with 30 kg/m 2 is sufficient as first diagnostic measure. Measuring waist-circumference can provide additional information especially if BMI

2020 European Society of Endocrinology

250. Treatment of Patients with Schizophrenia

al. 2017; Large et al. 2011). Other substance use disorders, if present, can also produce or exacerbate symptoms of psychosis (American Psychiatric Association 2016a; Large et al. 2014). Thus, as part of the initial evaluation, it is important to determine whether the patient uses tobacco, cannabis, or other substances such as alcohol, caffeine, cocaine, opioids, sedative-hypnotic agents, stimulants, 3,4-methylenedioxy- methamphetamine (MDMA), solvents, androgenic steroids, hallucinogens

2020 American Psychiatric Association

251. The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops

Falls and Drops A BAPM Framework for Practice 6 ©BAPM2020 assessment and management of newborn babies following a drop within a hospital setting. Accidentally dropped babies have been reported in settings from postnatal wards to neonatal intensive care units and paediatric wards. Newborn babies are especially vulnerable to head injury because of the relative weight of the head 3,4 . The younger the child, the greater the likelihood of head injury. Other injuries such as bruises, abdominal and long (...) (NEWTT+ The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops A BAPM Framework for Practice 13 ©BAPM2020 Modified GCS) (Appendix -3). Check anterior fontanelle and sutures, pupil size, symmetry and response to light, tone, power, primitive reflexes, measure head circumference and plot 4,516,17,22 . c. Decisions about severity of brain injury, management or prognosis should not be based on Modified GCS scoring alone. d. If any non-accidental injury (NAI) suspected, ensure

2020 British Association of Perinatal Medicine

252. COVID-19 Ultrasound Practice Suggestions

umbilical artery Doppler, suggest follow-up ultrasound examination for growth in 4 weeks but continue antepartum surveillance. For early-onset FGR or an abdominal circumference less than the 3rd percentile, consider a follow-up growth scan in 3 weeks. Anatomy Ultrasound Examination Suggestions (both 76805 and 76811): General operations procedures may not apply in this situation due to extraordinary circumstances. It is suggested to shorten the ultrasound examination duration as much as feasible (...) . Consider saving movie clips for fetal anatomy rather than images to expedite the examination. Adjust the ultrasound examination based upon indications and need. Focus on the following mandated planes unless otherwise indicated: • Fetal head: o BPD/HC o LV/Cavum o Posterior fossa o Upper lip/philtrum • Fetal chest: o 4CV o LVOT o RVOT o 3VT • Fetal abdomen: o AC o Cord insertion o Kidneys o Bladder • Spine: o Axial planes o Sagittal planes • Extremities: o FL o Confirm 4 extremities/hands and feet

2020 Society for Maternal-Fetal Medicine

253. Covid-19: Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum

every 3 years • Early glucose testing in future pregnancy Postpartum care Queensland Clinical Guideline: Gestational diabetes mellitus Refer to online version, destroy printed copies after use Page 6 of 38 Abbreviations AC Abdominal circumference ADIPS Australasian Diabetes in Pregnancy Society BGL Blood glucose level BMI Body mass index CI Confidence interval CS Caesarean section GDM Gestational diabetes mellitus GI Glycaemic Index GWG Gestational weight gain IOL Induction of labour IOM Institute (...) • There is limited evidence or consensus regarding specific antepartum tests or their frequency 54 • Monitoring type and frequency is influenced by the presence of other pregnancy complications (e.g. antepartum haemorrhage, preeclampsia, fetal growth restriction) as well as severity of maternal hyperglycaemia 24 • Fetal abdominal circumference (AC) greater than or equal to 75% for gestational age, measured at 29 to 33 weeks gestation, correlates with an increased risk for birth of an LGA infant 55 Fetal growth

2020 Queensland Health

254. Mass deworming for soil?transmitted helminths and schistosomiasis among pregnant women: A systematic review and individual participant data meta?analysis Full Text available with Trip Pro

are complicated by maternal hookworm infection alone (Bundy, Chan & Savioli, ; WHO, ). Anaemia is one of the most common side effects of infection with STH or schistosomes , due to blood loss in the intestine or urinary tract. Women in low‐ middle‐income countries (LMICs) are especially prone since they may be pregnant or lactating for as much as half of their reproductive lives with over 50% of the pregnant women having iron‐deficiency anaemia. Although iron‐deficiency anaemia is multifactorial, hookworm (...) are reduced by 30% to 45% in anaemic mothers, with their infants having less than one half of normal iron reserves (Rahman et al., ). Mass deworming (treatment at a large scale irrespective of the diseases status) along with the water, sanitation and hygiene (WASH) interventions are generally accepted as effective measures to prevent and treat STH and Schistosomiasis. However, findings from existing studies are conflicting and the effectiveness of mass deworming in improving various maternal and child

2019 Campbell Collaboration

255. Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium

time bd Twice daily BMI Body mass index CI Confidence interval COCP Combined oral contraceptive pill CS Caesarean section DVT Deep vein thrombosis GCS Graduated compression stockings GI Gastrointestinal HIT Heparin induced thrombocytopenia INR International normalised ratio IPC Intermittent pneumatic compression IV Intravenous LMWH Low molecular weight heparin PE Pulmonary embolism PPH Postpartum haemorrhage stat Immediately Subcut subcutaneous UFH Unfractionated heparin VTE Venous thromboembolism (...) (Xarelto®) 42 Aspirin • There are no controlled trials on the use of aspirin for thromboprophylaxis in pregnancy 10 • The American College of Physicians recommend against the use of aspirin for VTE in any patient group 2 • No adverse fetal outcomes were reported in a meta-analysis of large randomised controlled trials of low-dose aspirin for the prevention of preeclampsia in pregnancy 43 • There is insufficient evidence to recommend routine use of aspirin for thromboprophylaxis in the antenatal

2020 Queensland Health

256. Management of Adult Overweight and Obesity

Approved for Long-term Weight Management 105 B. Medications and Potential for Weight Gain 110 C. Off-label Pharmacotherapy 110 VA/DoD Clinical Practice Guideline for the Management of Adult Overweight and Obesity July 2020 Page 5 of 147 Appendix I: Metabolic/Bariatric Surgery 114 A. Non-metabolic Surgery (i.e., Adjustable Gastric Band) 116 B. Metabolic Surgery 116 C. Mortality Risk 117 D. Morbidity Risk 117 E. Suicide Risk 120 F. Non-insulinoma Pancreatogenous Hypoglycemia Syndrome 121 G. Nutritional (...) to preventive services.[29] The Obesity CPG Work Group largely focused on developing new and updated recommendations based on the evidence review conducted for the priority areas addressed by the KQs. In addition to developing new and updated recommendations, the Work Group considered the current applicability of other recommendations included in the 2014 VA/DoD Obesity CPG, categorizing them as appropriate based on current clinical practice. The 2020 VA/DoD Obesity CPG was developed using the GRADE

2020 VA/DoD Clinical Practice Guidelines

257. Risk Factors for Endometrial Cancer - A review of the evidence

17 3 3.1 General factors 17 3.1.1 Age 17 3.2 Family history & genetics 19 3.2.1 Family history of endometrial cancer or colorectal cancer 19 3.2.2 Mismatch repair gene mutations 21 3.2.3 PTEN gene mutation 24 3.3 Endogenous hormones 26 3.3.1 Age at menarche 26 3.3.2 Age at menopause 27 3.3.3 Breastfeeding 28 3.3.4 Parity 30 3.3.5 Polycystic ovary syndrome (PCOS) 31 3.4 Exogenous Hormones 33 3.4.1 Hormonal contraception ?oral contraceptives 33 3.4.2 Hormonal infertility treatment 35 3.4.3 (...) from ICD–10 codes C54 (body of the uterus) and C55 (unspecified parts of the uterus). It is estimated that uterine cancer will be the 5th most commonly diagnosed cancer among females in Australia in 2019, after breast, bowel, melanoma of the skin and lung cancer. In 2019, it is estimated that 3,115 new cases of uterine cancer will be diagnosed in Australia. 2 Incidence of uterine cancer is increasing. The age–standardised incidence rate increased from 13.9 cases per 100,000 females in 1982 to 19.3

2019 Cancer Australia

258. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

early complications occurred in 7 (6.3%) patients in the gastric bypass group. Two patients developed postoperative gastrointestinal haemorrhage. Five patients developed early postoperative bowel obstruction. Two major complications (2.3%) occurred in the gastric banding group. One patient developed postoperative obstruction requiring replacement of the band, and 1 patient had temporary renal failure. The occurrence of individual late complications is not consistently reported across the two follow (...) investigator or researcher: Laurence Claes (KU Leuven and UAntwerp), Torsten Olbers (Active researcher in the area. PI for Nationwide program in Sweden in adolescent bariatric surgery, PI for RCT Sleeve vs Gastric bypass), Caroline Rudisill (Part of a Delphi process to reach consensus statements as part of 4 th World Congress on Interventional Therapies for Type 2 Diabetes. Previously was a co-investigator on National Institutes of Health Research health Services and Research Delivery programme (NIHR HS

2019 Belgian Health Care Knowledge Centre

259. Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

is recommended in PCOS. Cardiovascular risk factor screening is updated and simplified, including monitoring weight and weight change, assessing body mass index, family history, ethnicity, smoking status, blood pressure and glycaemic status in all patients with PCOS, and waist circumference and lipid profiles in those with additional risk factors. Frequency and type of testing are guided by presence of both PCOS and other risk factors. Obstructive sleep apnoea and endometrial cancer risk are also addressed (...) adherence and efficacy. Pharmacological treatment for non-fertility indications (Algorithm 4) Algorithm 4 ( ) outlines recommendations regarding pharmacological treatment for non-fertility indications. Combined oral contraceptive pills (COCPs) continue to be recommended as first line medical treatment for hyperandrogenism and regulation of menstrual cycles in PCOS. COCP efficacy is largely related to hepatic-mediated oestrogenic effects on sex hormone-binding globulin, which in turn decrease free

2018 MJA Clinical Guidelines

260. Management of Cardiovascular Diseases during Pregnancy Full Text available with Trip Pro

and offspring complications 3174 3.3.3 Pregnancy heart team 3176 3.4 Cardiovascular diagnosis in pregnancy 3176 3.4.1 Electrocardiography 3176 3.4.2 Echocardiography 3176 3.4.3 Exercise testing 3177 3.4.4 Ionizing radiation exposure 3177 3.4.5 Chest radiography and computed tomography 3177 3.4.6 Cardiac catheterization 3177 3.4.7 Magnetic resonance imaging 3177 3.5 Genetic testing and counselling 3177 3.5.1 Pre-natal diagnosis 3178 3.6 Foetal assessment 3178 3.6.1 Screening for congenital heart disease 3178 (...) 3.6.2 Assessing foetal wellbeing 3178 3.7 Interventions in the mother during pregnancy 3178 3.7.1 Percutaneous therapy 3178 3.7.2 Cardiac surgery with cardiopulmonary bypass 3178 3.8 Timing and mode of delivery: risk for mother and child 3179 3.8.1 Timing of delivery 3179 3.8.2 Labour induction 3179 3.8.3 Vaginal or caesarean delivery 3179 3.8.4 Delivery in anticoagulated women (not including mechanical valve; see section 5) 3179 3.8.5 Urgent delivery on therapeutic anticoagulation 3179 3.8.6

2018 European Society of Cardiology

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