ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women - E-Book PDF Download

Author: Shirish N Daftary
Publisher: Elsevier Health Sciences
ISBN: 8131239551
Category : Medical
Languages : en
Pages : 116

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ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women - E-Book

Author: Sanjay Gupte
Publisher: Elsevier Health Sciences
ISBN: 8131239535
Category : Medical
Languages : en
Pages : 184

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ECAB Progesterone: The Multifaceted Molecule - E-Book

Author: Sujata Misra
Publisher: Elsevier Health Sciences
ISBN: 8131232352
Category : Medical
Languages : en
Pages : 160

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It is an established fact that thyroid hormones play an important role in the metabolism of the body. Pregnancy is a state of significant hormonal as well as metabolic changes, and thyroid hormones have a significant impact on maternal metabolism and fetal development during pregnancy. The fetus relies on maternal thyroid hormone for the development of the CNS, especially in the early stages of gestation, and uncorrected maternal hypothyroidism in this period can leave the child with permanent life-long neurological deficits. From the maternal point of view, a thyroid dysfunction encountered during pregnancy may continue even after delivery as postpartum thyroiditis. Hence, any thyroid dysfunction, be it hypo- or hyperthyroidism, can have serious deleterious consequences if not detected promptly and managed properly. The established guidelines and newer trends for the treatment of thyroid dysfunction are discussed in this update. Thyroid hypofunction has also been known to affect the fertility of women in reproductive age group. With the increasing incidence of infertility and advent of methods to treat them, the early detection and adequate treatment of thyroid hypofunction becomes an unavoidable part of assisted reproductive techniques, in the present day scenario. Even subclinical thyroid disorders can affect the reproductive capacity of non-pregnant women and impact the fetomaternal wellbeing in those who conceive. However, not all cases of subclinical hypothyroidism warrant pharmacological treatment. The guidelines for treatment of subclinical hypothyroidism in the pregnant and non-pregnant states are discussed in detail in this clinical update. An important aspect of reproductive health is family planning, and one of the commonly used means to achieve it is hormonal contraceptives. The interaction of thyroid hormones with hormonal contraceptives and the means of testing thyroid dysfunction in an individual taking hormonal contraceptives have been elucidated in this update.

Author: Suneeta Mittal
Publisher: Elsevier Health Sciences
ISBN: 8131232336
Category : Medical
Languages : en
Pages : 159

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Even though it seems simple the ability of the mother’s body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal "semi-allograft", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited. In such a situation, a correct diagnosis and prompt evaluation is imperative to start immediate interventions and prevent the expulsion of the fetus. However it is equally important to rule out the other conditions that may mimic threatened miscarriage and avoid unnecessary interventions. This clinical update handbook attempts to address these and other issues associated with this potentially elusive condition. The first chapter serves to give a concise yet relevant overview about this topic. The various modes of presentation as well as the management protocol are elaborately covered in the second chapter. The chapter on Diagnostic Modalities explains how the risk factors and investigative findings can be used to predict and make an early diagnosis of the condition. It has also touched upon the other conditions that mimic threatened miscarriage and how those can be differentiated from it. The role of stress and how it affects the immunomodulation which is the basis of maternal tolerance of the fetus, is explored in detail in the fourth chapter. The last chapter highlights the complications associated with inappropriate treatment of the condition and explores the adverse effects and relative safety of the recommended treatment protocol. Most of the chapters also include several case reviews that illustrate the aspects covered and are enriched with the vast repertoire of personal experience of the eminent authors.

Author: Urvashi P Jha
Publisher: Elsevier Health Sciences
ISBN: 813123228X
Category : Medical
Languages : en
Pages : 90

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Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy has become an essential part of gynecologic surgery. In present practice, the benefits of hysteroscopy have become safely entrenched behind undeniable facts, to the hospitals as well as the patients. Hysteroscopy can be regarded as the gold standard for the evaluation of the uterine cavity in cases of abnormal uterine bleeding, infertility, recurrent pregnancy loss, and suspected intrauterine out-growth. It can be performed in the office setting (outpatient hysteroscopy) or as a day-case procedure, under general anesthesia (inpatient hysteroscopy). Outpatient hysteroscopy has been shown to be as accurate as inpatient hysteroscopy, and it has the advantage of reduced anesthetic risks, enhanced time–cost effectiveness, and patient preference. The factors behind the success of outpatient hysteroscopy are instrument quality, characteristics of the distension medium, the ability and experience of the operators, and recent technical advances, such as the introduction of small-diameter rigid and flexible hysteroscopes. The future looks to further simplification of instrumentation and hence, high safety and accuracy and expedited performance. "Hysteroscopy in Infertility" has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of authors, who are among the pioneers in this field.

Author: Sunesh Kumar
Publisher: Elsevier Health Sciences
ISBN: 8131266311
Category : Medical
Languages : en
Pages : 605

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Book Description
- Content Organized in a logical sequence that aids learning and enables the students to build sound knowledge of the subject. - Book covers the entire course curriculum in a narrative manner that helps build concepts and makes it easy to retain and reproduce. - Colored Illustrations, pathological images and slides, and supporting sonographs have been included extensively to enhance understanding of various diseases. - Key points at the end of chapter for quick revision. - Self-assessment questions at the end of each chapter help in preparing for expected/frequently asked questions in the examination. - Updated and revised as per new CBME curriculum. - Vertical and horizontal integration of the topics has been done. - Keeping in view wide variation in practice and opinion in the latest suggestions made by WHO and Govt of India, new guidelines pertaining to Indian perspective have been included in chapter Diagnosis of Female Genital Tuberculosis'. - The book is updated with recent guidelines and staging. - Latest FIGO classification Ca Cervix has been included. - Clinical cases included at the end of most of the chapters to provide the students a detailed workup for commonly encountered conditions.

Author: Cathy O'Brien
Publisher:
ISBN: 9780966016536
Category : Brainwashing
Languages : en
Pages : 408

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Author: P. Rutgeerts
Publisher: Springer Science & Business Media
ISBN: 9780792387503
Category : Medical
Languages : en
Pages : 340

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Book Description
Ulcerative colitis and Crohn's disease remain a great therapeutic challenge to the medical community. In recent years knowledge about the pathogenesis of these diseases has progressed rapidly but the cause of the diseases remains completely unknown. It has become clear that dysregulation of the mucosal immune system is the basis for the chronic evolution of the diseases in a genetically susceptible population. Exciting new therapeutic approaches have been attempted in the last couple of years and cytokine and anti-cytokine treatments in particular seem very promising, especially in intractable disease. The format of the Falk Symposium 106 on `Advances in Inflammatory Bowel Diseases', held in Brussels, Belgium, June 18-20, 1998, was somewhat innovative as each session attempted to link the new insights into pathogenetic mechanisms with new therapeutic approaches, resulting in optimal information transfer. The classic therapeutic schemes were updated with a special focus on step-wise build-up of therapy.

Author: Laurence S. Baskin
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781751629
Category : Medical
Languages : en
Pages : 356

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Updated and expanded for its Second Edition, this handbook is an accessible guide to the diagnosis and treatment of urologic disorders in infants, children, and adolescents. It covers the full range of pediatric urologic problems in an easy-to-use outline format with numerous illustrations and tables. This edition includes new chapters on laparoscopy in pediatric urology, sports recommendations for children with solitary kidneys and other genitourinary anomalies, preparing pediatric patients for anesthesia, and treatment of urinary incontinence and constipation. A new appendix covers online pediatric urology recommendations. The updated Pediatric Urology Database chapter provides a quick reference on important medication issues.

Author: Douglas E. Faries
Publisher: SAS Press
ISBN: 9781607642275
Category : Medical care
Languages : en
Pages : 0

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Book Description
This book guides researchers in performing and presenting high-quality analyses of all kinds of non-randomized studies, including analyses of observational studies, claims database analyses, assessment of registry data, survey data, pharmaco-economic data, and many more applications. The text is sufficiently detailed to provide not only general guidance, but to help the researcher through all of the standard issues that arise in such analyses. Just enough theory is included to allow the reader to understand the pros and cons of alternative approaches and when to use each method. The numerous contributors to this book illustrate, via real-world numerical examples and SAS code, appropriate implementations of alternative methods. The end result is that researchers will learn how to present high-quality and transparent analyses that will lead to fair and objective decisions from observational data. This book is part of the SAS Press program.