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Fetal Foot Measurement

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101. Occupational Health and the Anaesthetist

-exposure prophylaxis for hepatitis B and C is not available. • Respiratory infections are an occupational hazard and anaesthetists should take appropriate measures to protect themselves. These include immunisation, use of personal protective equipment – masks, gloves and aprons/gowns, and good hand hygiene. • Infections that can cause severe illness if acquired include influenza, SARS, novel coronavirus or tuberculosis. When managing patients who may have such infections, doctors should seek and follow (...) liaise with the various hospitals to which trainees rotate to minimise the number of pre-employment screens needed. This is particularly an issue where trainees undertake many attachments of short duration. Consideration should be given to trainees having either a lead employer for the whole of training, or a ‘health passport’ which would be accepted by all hospitals within a school. These measures will save much time and cost for individual hospitals, and minimise delays before new trainees may

2014 Association of Anaesthetists of GB and Ireland

102. Heart Disease and Stroke Statistics?2016 Update

of how many people have a disease at a given point or period in time. The NCHS conducts health examination and health interview surveys that provide estimates of the prevalence of diseases and risk factors. In this Update, the health interview part of the NHANES is used for the prevalence of CVDs. NHANES is used more than the NHIS because in NHANES, AP is based on the Rose Questionnaire; estimates are made regularly for HF; hypertension is based on BP measurements and interviews; and an estimate can

2014 American Heart Association

103. Blood sampling, neonatal capillary

, the time the baby cried, and the need to repeat the sample ( ). Manual lancets must not be used ( ). Before commencing the procedure Capillary blood sampling is a painful procedure. Comfort measures and analgesia are recommended to reduce the pain and discomfort caused to the neonate during the blood sampling process ( ) ( ). An assessment of the baby's ability to tolerate handling must be made prior to obtaining the sample. A full explanation should be given to the parents before the procedure (...) of infection ( ) Capillary blood sampling should never be taken from the fingers of a neonate ( ). Obtaining the sample The neonates identity should be confirmed. A social hand wash should be performed and an apron and gloves should be worn ( ). Equipment should be placed in a convenient position ( ). To obtain the sample: Ensure baby is lying in a safe and secure position ( ). Clean the heel by washing with plain water using gauze/cotton wool. The water should not be heated and the baby’s foot should

2014 Publication 1593

104. Clinical practice guideline for care in pregnancy and puerperium

, measurement of blood pressure, breast and gynaecological exploration in early pregnancy? What is the purpose of universal screening for hypertensive disorders [measurement of blood pressure (BP) and test strips] and in on what stage of pregnancy should it be done? What is the purpose of universal screening for cervical cancer and on what stage of pregnancy should it be done? 6. What is the purpose of determining the plasma urea level in a biochemical test? 7. What is the purpose of determining the plasma (...) out? Is any complication during the performance of ultrasound scans referred? 31. What information from the ultrasound scans should be provided? How and when should this information be provided? 32. What is the performance of the combined test for chromosomal screening versus performing invasive tests? Control of foetal growth and wellbeing 33. Is the symphysis-fundal height (SFH) measurement useful to predict foetal growth control? 34. What is the benefit of the Doppler study of uterine artery

2014 GuiaSalud

105. Patient Modesty: Volume 84

that a single exam encounter produces psychiatric trauma. Here is the paper from The American Counseling Association: " ." Here are some excerpts: Menage (1993) studied 500 women who underwent obstetric and gynecological procedures, and found that 100 women described the procedure as being “terrifying” or “very distressing,” while 30 met the full criteria for PTSD (p. 221). Studies of patients in this setting have yielded alarming results ranging from 18.5% to 59%, with measures taken up to 9 years

2018 Bioethics Discussion Blog

106. Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor

; at the cervical dilation of 3cm , 6cm and 10cm; at the time of birth of infant; at the time of delivery of placenta. ] The modified Bromage score is the most frequently used measure of motor block. In this scale, the intensity of motor block is assessed by the patient's ability to move their lower extremities(0: no motor paralysis; 1: inability to raise extended leg, but able to move knee and foot; 2: inability to raise extended leg and to move knee, but able to move foot; 3: inability to raise extended leg (...) Pain Labor Fetal Anoxia Procedure: Combined spinal-epidural analgesia Procedure: Epidural analgesia Not Applicable Detailed Description: Participants who request neuraxial labor analgesia are randomized to receive combined spinal-epidural analgesia or epidural analgesia during labor. The investigators collect the data on the duration of three stages of labor, the mode of delivery, neonatal Apgar scores, VAS scores, modified Bromage scores. Study Design Go to Layout table for study information Study

2018 Clinical Trials

107. Evaluation of Long-Term Gait Development in Infants With Neonatal Encephalopathy Using Infant Treadmill

in time the baby will start walking independently. Secondary Outcome Measures : age of onset of walking with assistance [ Time Frame: The length of time from birth to the corrected age of 2 years ] This variable is a gait parameter, recording a point in time the baby will start walking with assistance. step length [ Time Frame: The length of time from birth to the corrected age of 18 months ] The length of displacement formed by the same foot after completing a gait. step width [ Time Frame (...) for general physical rehabilitation training of all infants with cerebral palsy. Outcome Measures Go to Primary Outcome Measures : step frequency [ Time Frame: The length of time from birth to the corrected age of 18 months ] This variable is a number that records the infants' number of coordinated gaits in all gait training processes. age of onset of independent walking [ Time Frame: The length of time from birth to the corrected age of 2 years ] This variable is a gait parameter, recording a point

2018 Clinical Trials

108. Propofol Spinal Procedural Sedation for Cesarean Section

table facing towards the table's foot. The table's foot will be dropped 45 degrees for a comfortable chair position, Monitoring through pulse oximeter (SaO2), non-invasive blood pressure (NIBP) adjusted every 2 minutes automatic measuring and capnography tube in contact with nostrils. Other Name: propofol procedural sedation Outcome Measures Go to Primary Outcome Measures : The rate of acceptance of spinal anesthesia if propofol sedation is added during the procedure. [ Time Frame: 30 minutes (...) not adversely affect the Apgar scores or the neurological and adaptive fetal outcomes. The general consensus is that procedural sedation is not a routine for spinal interventions, but required for anxious patients. Our hypothesis is that, with the high prevalence of maternal anxiety during cesarean section, ensuring painless comfortable spinal anesthesia may increase the acceptance rate of regional anesthesia during cesarean section. Study Design Go to Layout table for study information Study Type

2018 Clinical Trials

109. Placental Histomorphology in a Case of Double Trisomy 48,XXX,+18 (PubMed)

at 19 weeks and 1 day of gestation by last menstrual period for scheduled prenatal visit. Ultrasound revealed a single fetus without heart tones and adequate amniotic fluid. Limited fetal measurements were consistent with estimated gestational age of 17 weeks. Labor was induced with misoprostol due to fetal demise. Autopsy revealed an immature female fetus with grade 1-2 maceration. The ears were low-set and posteriorly rotated. The fingers were short bilaterally, and the right foot showed absence (...) ,+18 karyotype and the same double trisomy of fetal thymic tissue by FISH.In addition to convoluted outlines of chorionic villi, villous trophoblastic pseudoinclusions, and clusters of villous cytotrophoblasts, the previously unreported focal pseudovillous papilliform trophoblastic proliferation of the undersurface of the chorionic plate and clustering of perpendicularly oriented sclerotic chorionic villi in the chorion laeve were observed in this double trisomy case. More cases have to be examined

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2018 Case Reports in Pathology

110. Late Effects of Treatment for Childhood Cancer (PDQ®): Health Professional Version

and undiagnosed conditions detected by screening and surveillance measures.[ ] Figure 2. Cumulative incidence of chronic health conditions for (A) grades 3 to 5 chronic health conditions, (B) multiple grade 3 to 5 conditions in survivors, (C) multiple grade 3 to 5 conditions in siblings, (D) conditioned based on no previous grade 3 to 5 conditions among survivors by ages 25, 35, or 45, and (E) conditioned based on no previous grade 3 to 5 conditions among siblings by ages 25, 35, or 45. Gregory T. Armstrong (...) privately insured to report a cancer-related visit (adjusted relative risk [RR], 0.83; 95% CI, 0.75–0.91) or a cancer center visit (adjusted RR, 0.83; 95% CI, 0.71–0.98). Uninsured survivors had lower levels of utilization in all measures of care than privately insured survivors. In contrast, publicly insured survivors were more likely to report a cancer-related visit (adjusted RR, 1.22; 95% CI, 1.11–1.35) or a cancer center visit (adjusted RR, 1.41; 95% CI, 1.18–1.70) than were privately insured

2016 PDQ - NCI's Comprehensive Cancer Database

111. Childhood Soft Tissue Sarcoma Treatment (PDQ®): Health Professional Version

influencing survival. Semin Surg Oncol 9 (6): 524-31, 1993 Nov-Dec. [ ] Zeytoonjian T, Mankin HJ, Gebhardt MC, et al.: Distal lower extremity sarcomas: frequency of occurrence and patient survival rate. Foot Ankle Int 25 (5): 325-30, 2004. [ ] Benesch M, von Bueren AO, Dantonello T, et al.: Primary intracranial soft tissue sarcoma in children and adolescents: a cooperative analysis of the European CWS and HIT study groups. J Neurooncol 111 (3): 337-45, 2013. [ ] Weiss SW, Goldblum JR: Miscellaneous tumors (...) in seven infants with molecular-genetic analysis. Fetal Pediatr Pathol 30 (5): 329-37, 2011. [ ] Evans HL: Low-grade fibromyxoid sarcoma: a clinicopathologic study of 33 cases with long-term follow-up. Am J Surg Pathol 35 (10): 1450-62, 2011. [ ] Alaggio R, Collini P, Randall RL, et al.: Undifferentiated high-grade pleomorphic sarcomas in children: a clinicopathologic study of 10 cases and review of literature. Pediatr Dev Pathol 13 (3): 209-17, 2010 May-Jun. [ ] Staging and Grading Systems

2016 PDQ - NCI's Comprehensive Cancer Database

112. Childhood Extracranial Germ Cell Tumors Treatment (PDQ®): Health Professional Version

(brain). Non-seminomatous GCT. Yolk sac tumor (endodermal sinus tumor). Choriocarcinoma. Embryonal carcinoma. Gonadoblastoma. Teratoma and yolk sac tumor. Mixed GCT (contains at least two of the malignant histologies listed above). (Refer to the PDQ summary on for information about the treatment of intracranial germ cell tumors.) Incidence Childhood GCTs are rare in children younger than 15 years, accounting for approximately 3% of cancers in this age group.[ - ] In the fetal/neonatal age group, most (...) the sacrum), mediastinum, and retroperitoneum. Diagnostic and Staging Evaluation Diagnostic evaluation of GCTs includes imaging studies and measurement of tumor markers. In suspected cases, tumor markers can suggest the diagnosis before surgery and/or biopsy. This information can be used by the multidisciplinary team to make appropriate treatment choices. Tumor markers Yolk sac tumors produce alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (beta-hCG) is produced by all choriocarcinomas

2016 PDQ - NCI's Comprehensive Cancer Database

113. Herpes simplex - oral

-analyses No new systematic reviews and meta-analyses since 1 September 2016. Primary evidence No new randomized controlled trials in the major journals since 1 September 2016. New policies New policies No new national policies or guidelines since 1 September 2016. New safety alerts New safety alerts No new safety alerts since 1 September 2016. Changes in product availability Changes in product availability No changes in product availability since 1 September 2016. Goals and outcome measures Goals (...) and outcome measures Goals Goals To support primary healthcare professionals to: Diagnose herpes labialis and gingivostomatitis in primary care. Offer appropriate symptom relief and drug treatment in primary care. Provide advice to reduce the risk of transmission and autoinoculation of herpes simplex virus, and to reduce the risk of complications. Seek specialist advice or refer when appropriate. Outcome measures Outcome measures No outcome measures were found during the review of this topic. Audit

2016 NICE Clinical Knowledge Summaries

114. Guidelines for the management of dyslipidaemias

that Table 3 might suggest that most older men in high risk countries who smoke would be candidates for drug treatment, even if they have satisfactory blood pressure and lipid levels. To date, this is not supported by trial evidence, and the clinician is strongly recommended to use clinical judgement in making therapeutic decisions in older people, with a ?rm commitment to lifestyle measures such as smoking cessation in the ?rst instance. 4. Evaluation of laboratory lipid and apolipoprotein parameters (...) of LDL-C with the Friedewald formula. TC, apo B, apo A1, and HDL-C can be determined in non-fasting samples. 43 Fasting state is also essential if blood glucose is measured in screening programmes. Intraindividual variation There is considerable intraindividual variation in plasma lipids. For TC, a variation of 5–10% and for TG.20% has been reported, particularly in those with hypertriglyceridaemia (HTG). This vari- ation is to some extent due to analytical variation, but is also due to environmental

2011 European Society of Cardiology

115. Comparison of Successful Spinal Needle Insertion Between Obese and Non-obese Pregnant Women

about the study, have agreed to enroll and have signed the informed consent form Exclusion Criteria: Subjects with contraindications for spinal anesthesia Subjects with fetal's head trapped, umbilical prolapse, and foot presentation Subjects with pre-eclampsia Subjects with cardiovascular diseases Subjects with scoliosis Subjects with recent lumbal surgery history Subjects who cannot sit in crossed leg sitting position. Drop out criteria: Subjects with worsening conditions before spinal anesthesia (...) using Quincke Needle 25G/27G in crossed leg sitting position for caesarean section Procedure: Crossed leg sitting position Spinal anesthesia done in crossed leg sitting position Outcome Measures Go to Primary Outcome Measures : Number of successful spinal needle placement in the first attempt [ Time Frame: 2 months ] The number of successful spinal needle placement in the first attempt was recorded in yes/no method. The number of needle-bone contact [ Time Frame: 2 months ] The number of spinal

2017 Clinical Trials

116. The Association Between Epidural Labor Analgesia and Pregnancy Outcomes

frequently used measure of motor block. The scores is from 0 to 3. In this scale, the intensity of motor block is assessed by the patient's ability to move their lower extremities (0: no motor paralysis; 1: inability to raise extended leg, but able to move knee and foot; 2: inability to raise extended leg and to move knee, but able to move foot; 3: inability to raise extended leg or to move knee and foot). That will indicate if the analgesia block the patient motor too much. Postpartum depression [ Time (...) the delivery of neonates. Drug: Ropivacaine Hydrochloride, Sufentanil In this research one group will receive epidural analgesia(Ropivacaine Hydrochloride, Sufentanil), data will be collected and analyzed between this group and non-epidural analgesia group. No Intervention: Non-epidural analgesia during labor Women who refused epidural labor analgesia were included in the non-epidural analgesia group, and they don't receive epidural analgesia during labor Outcome Measures Go to Primary Outcome Measures

2017 Clinical Trials

117. Fox News falls into ethical morass on Zika birth story

not to speak publically after the birth of her baby. Experts representing maternal fetal medicine and pediatric infectious disease provided a general overview and answered questions from a variety of reporters in accordance with protecting patient privacy rights. The mother in this case is not granting interviews to any media outlets. Radwin declined to speak by telephone. After further attempts to get clarification about the circumstances of the Fox News video interview, and noting that her statement made (...) Journalism Program, has been in Dr. Alvarez’s shoes, with one foot in medicine and one in the news business. “It’s a very dicey situation that I feel a physician-journalist should avoid at all costs. And I can speak from my own experience, when I was a physician television reporter. I never interviewed a patient of mine, nor would I even ask a patient of mine for his or her consent to be in a story that I was reporting, because I felt it was putting the patient in an untenable position and also

2016 HealthNewsReview

118. The Effect of Dynamic Elastomeric Fabric Orthosis (DEFO) on Sitting Balance and Gross Manuel Dexterity in Cerebral Palsy

vs 6 hours of daily wear time. Condition or disease Intervention/treatment Phase Cerebral Palsy Postural; Defect Device: SPIO Other: conventional exercises Not Applicable Detailed Description: Cerebral palsy (CP) is a disorder of development of movement and posture due to non-progressive lesion in fetal or infant brain. Postural control in children with cerebral palsy (CP) is deteriorated due to inappropriate muscle force and lack of sensory integration. The trunk which is found in the centre (...) hospital inpatient stay throughout 2 weeks Other: conventional exercises range of motion, strengthening, trunk control and strengthening exercises and exercises to improve fine and gross motor skills Outcome Measures Go to Primary Outcome Measures : Sitting Assessment Scale [ Time Frame: Immediate after orthosis is worn ] Sitting Assessment Scale was devoloped for observational assessment of posture and balance during sitting after seating interventions. The scale consists of 5 items including head

2017 Clinical Trials

119. Oncaspar - pegaspargase

, the recommended posology is 2000 U/m 2 every 14 days (see SmPC section 4.2). Treatment may be monitored based on the trough serum asparaginase activity measured before the next administration of Oncaspar. If asparaginase activity values fail to reach target levels, a switch to a different asparaginase preparation could be considered (see section 4.4). Oncaspar can be given by intramuscular injection or intravenous infusion. For smaller volumes of Oncaspar, the preferred route of administration (...) structure of asparaginase, physicochemical properties and purity of asparaginase. This includes overall amino acid sequence, N-terminal sequence, disulphide bond configuration, molecular mass and isoelectric point as well as product and process related impurities. Furthermore biologic activity was determined by enzyme kinetics. Specification The proposed release tests are acceptable, including measures of enzymatic activity, and methods to control for product-related substances, product-related

2016 European Medicines Agency - EPARs

120. Carbapenems

and meropenem are used for the treatment of severe hospital-acquired infections and polymicrobial infections. Ertapenem is used for the treatment of abdominal and gynaecological infections, pneumonia, and skin and soft tissue foot infections in patients with diabetes. Unlike the other carbapenems, ertapenem is not active against Pseudomonas or against Acinetobacter spp . There is extremely limited information on the use of carbapenem antibiotics during pregnancy and an evidence-based evaluation of risk (...) to the fetus with maternal use during pregnancy is not currently possible. However, any risks to the fetus should be weighed against the potential adverse effects for the mother and fetus from an untreated infection. Exposure to carbapenems at any stage in pregnancy would not usually be regarded as medical grounds for termination of pregnancy. Due to the lack of safety data and the likely severity of infections necessitating use of a carbapenem, additional fetal monitoring may be warranted and should

2014 UK Teratology Information Service

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