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Uterine Inversion

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162. Fertility drugs and cancer: a guideline

, ovula- tion induction, ovulation induction/ adverse effects[MeSH], thyroid neo- plasms/chemically induced[MeSH], thy- roid neoplasms/epidemiology[MeSH], thyroid neoplasms/etiology[MeSH], thy- roid, treatment, treatments, uter*, uter- ine cervical neoplasms/chemically induced[MeSH], uterine cervical neo- plasms/epidemiology[MeSH], uterine cervical neoplasms/etiology[MeSH], uterine, uterus. Studieswereeligibleiftheymetone of the following criteria: primary evi- dence (clinical trials) that assessed (...) . In addition, sal- pingectomy prior to IVF is now an accepted treatment for those with severe tubal disease, and this may have implica- tions for the incidence of ‘‘ovarian’’ cancers, given the newer theoriesthatsomeovariancancersmayoriginateinthefallo- pian tube (7). OvarianCancer Ovarian cancer is rare and accounts for about 3% of all can- cers in women, with approximately 20,000 cases diagnosed annually in the United States (8). Parity is inversely related to the risk of ovarian cancer (odds ratio

2016 Society for Assisted Reproductive Technology

163. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

, and computed tomography (CT). Fluid-sensitive sequences are the favored initial sequence for MRI screening [29]. With a small field of view, short tau inversion recovery and/or T1-weighted imaging will usually demonstrate a fracture line surrounded by edema. In the absence of an actual stress fracture, stress reaction or muscle/tendon injuries can be identified using fluid-sensitive sequences. Thus, MRI may be as sensitive as bone scintigraphy but also considerably more specific [19,23]. Intravenous (...) stress fractures in military endurance athletes and recruits: incidence and MRI and scintigraphic findings. Skeletal Radiol. 2002;31(5):277-281. 6. Bernhard A, Milovanovic P, Zimmermann EA, et al. Micro-morphological properties of osteons reveal changes in cortical bone stability during aging, osteoporosis, and bisphosphonate treatment in women. Osteoporos Int. 2013;24(10):2671-2680. 7. Tokumaru S, Toita T, Oguchi M, et al. Insufficiency fractures after pelvic radiation therapy for uterine cervical

2016 American College of Radiology

164. Establishing breastfeeding

, Aboriginal and Torres Strait Islander women 2 , adolescent/young women 2 , history of abuse or substance use 45,46 ) o Breast and nipple variations, surgery or injury (e.g. breast hypoplasia, biopsy, augmentation, reduction, nipple inversion, nipple piercing) 39 as disclosed by the woman in response to prompts o Current medications o Use of tobacco, alcohol or illicit drugs • If history identifies risk factors, consider breast examination (not routinely recommended 47 ) as it provides an opportunity (...) reflex (MER) influences amount of milk baby consumes regardless of the length of the breastfeed 70 o MER may take two to three minutes to occur in the first few days after birth 39 • Multiple milk ejections are common during a breastfeed however the mother may not sense it or may only sense the initial MER • Woman may sense or notice MER by 70 : o Becoming thirsty o Breast sensations (e.g. pins and needles, pressure, milk leakage) o Uterine contractions ‘afterbirth pains’ in the immediate postpartum

2016 Clinical Practice Guidelines Portal

167. Olodaterol inhalation solution (Striverdi Respimat)

agonists. Carcinogenicity was assessed in a 2 year study in CD-1 mice, and in a 2-year study in Wistar Han rats. These studies showed increased incidences of uterine leiomyomas and malignant leiomyosarcomas in mice and ovarian leiomyomas in rats. These tumors have been observed with other beta-adrenergic agonists. The relevance of these findings to humans is unknown. 5. Clinical Pharmacology and Biopharmaceutics BI submitted results from a comprehensive clinical pharmacology program. The program

2014 FDA - Drug Approval Package

168. Core Competencies for Management of Labour

movement and auscultate FHR Assess fetal heart rate and response to contractions Assess contractions for onset, strength, length and frequency, including resting tone Perform a vaginal examination unless contraindicated Active First Stage of Labour – Ongoing Assessment Initiate BC Labour Partogram Commence one-to-one care Check FHR q 15 - 30 min (see DST FHS) Palpate contractions q 15 - 30 min for frequency, strength, length of contractions, and uterine resting tone Check pulse, BP, respirations, temp (...) , reassess in 1 hour Support non-directed pushing Check FHR q 15 min until pushing then increase to q 5 min or after each contraction Palpate contractions q 15 min for frequency, intensity, length of contractions, and uterine resting tone Check maternal VS q1 h Perform a VE once hourly only if indicated Assess the progress of fetal descent Assess bladder emptying, encourage voiding q1h Consider hydration and pain relief needs Encourage frequent position changes Provide support and encouragement Assist

2014 British Columbia Perinatal Health Program

169. Muscle-invasive and Metastatic Bladder Cancer

recently they have described an inverse association between dietary intake of flavonols and lignans and the risk of BC, in particular aggressive tumours [21]. 3.2.5 Bladder schistosomiasis and chronic urinary tract infection Bladder schistosomiasis (bilharzia) is the second most common parasitic infection after malaria, with about 600 million people exposed to infection in Africa, Asia, South America, and the Caribbean [22]. There is a well- established relationship between schistosomiasis and squamous

2015 European Association of Urology

174. Menopausal Symptoms: Comparative Effectiveness of Therapies

inconsistencies resolved by consensus. The following data were abstracted: • Trial characteristics: Author, year, country, number of trial sites, trial design, total number randomized, length of followup, intervention, uterine status, disclosures and conflicts of interest, funding, primary and secondary outcomes • Trial arm characteristics: Participant information such as number of participants, age, ethnicity, BMI, time since menopause, tobacco use; treatment specifics such as type of treatment, dosage

2015 Effective Health Care Program (AHRQ)

175. Perinatal Management of Pregnant Women at the Threshold of Infant Viability? the Obstetric Perspective

In births before 34 weeks of gestation, second born twins delivered by caesarean section had a lower risk of neonatal death than those delivered vaginally (2.1 versus 9.0%, adjusted OR 0.40, 95% CI 0.17, 0.95) but this study had only low numbers of extremely preterm infants (1.2–1.4% were < 28 weeks of gestation). The rate of classical caesarean section is inversely related to the gestation. In one cohort study where a classical incision was performed in 1% of all caesarean sections, 20% of incisions (...) during labour. Intrapartum continuous fetal heart rate monitoring would seem appropriate during labour for those pregnancies in which active obstetric intervention, such as emergency caesarean section in the presence of a pathological cardiotocography (CTG), and full neonatal support is planned. 2.5.3 Management during labour and obstetric emergencies Analgesia in labour is an important consideration. Labour at the threshold of viability can occasionally progress rapidly with minimal painful uterine

2014 Royal College of Obstetricians and Gynaecologists

178. Diagnosis and Management of Acute Pulmonary Embolism

in acute PE, but up to 40% of the patients have normal arterial oxygen saturation and 20% a normal alveolar-arterial oxygen gradient. 87,88 Hypocapnia is also often present. The chest X-ray is frequently abnormal and, al- though its ?ndings are usually non-speci?c in PE, it is useful forexclud- ing other causes of dyspnoea or chest pain. 89 Electrocardiographic changes indicative of RV strain, such as inversion of T waves in leads V1–V4, a QR pattern in V1, S1Q3T3 pattern, and incomplete or complete

2014 European Society of Cardiology

179. Hypertrophic Cardiomyopathy

between HCM and cardiac amyloidosis is aided by measuring the ratio between QRS voltages and LV wall thickness. Extreme superior (“North West”) QRS axis deviation Seen in patients with Noonan syndrome who have severe basal hypertrophy Giant negative T wave inversion (>10 mm) Giant negative T wave inversion in the precordial and/or inferolateral leads suggests involvement of the LV apex. Abnormal Q waves =40 ms in duration and/or =25% of the R wave in depth and/or =3 mm in depth in at least two

2014 European Society of Cardiology

180. Exploring telomere length in mother-newborn pairs in relation to exposure to multiple toxic metals and potential modifying effects by nutritional factors. Full Text available with Trip Pro

Exploring telomere length in mother-newborn pairs in relation to exposure to multiple toxic metals and potential modifying effects by nutritional factors. The uterine environment may influence telomere length at birth, which is essential for cellular function, aging, and disease susceptibility over the lifespan. However, little is known about the impact of toxic chemicals on early-life telomeres. Therefore, we assessed the potential impact of multiple toxic metals on relative telomere length (...) , and urine were positively associated with placental rTL, about 0.2 SD by doubled arsenic. In the cord blood (n = 88), only lead was associated with rTL (inversely), particularly in boys (p for interaction 0.09). Stratifying by newborn sex showed ten times stronger association in boys (about 0.6 SD) than in girls. The studied antioxidants did not modify the associations, except that with antimony.Elevated exposure to boron, lithium, arsenic, and antimony was associated with maternal or newborn rTL

2019 BMC Medicine

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