medicolegal considerations in obstetrics and gynecology

... this finding lies with the fact that it is a recurrent finding in subsequent pregnancies in which case early treatment (at conception) with aspirin and Lovenox is indicated If prednisone is indicated ... presence of brain sparing in the term fetus should be considered an indication for delivery and in the premature fetus it should constitute an indication of intense conventional monitoring and treatment ... initial stages of the infusion Doppler applications in Gynecology Introduction The amount of research in gynecology pales that of obstetrics The indications for Doppler in gynecology are limited...

Ngày tải lên: 13/02/2014, 06:20

... medical education, through residency OBSTETRICS & GYNECOLOGY and other postgraduate training programs, and continuing with a demonstration of both the understanding and practice of safest medical practice ... further testing and validation needs to be done on a more comprehensive basis before it can be accepted as a standard Encouraging increased funding for continued research and testing in this important ... Another interesting finding in the closed claims data were that many deaths secondary to carbon monoxide poisoning occurred on Mondays in the operating room Cases of CO poisoning were very unusual in...

Ngày tải lên: 14/03/2014, 14:20

... specialist in obstetrics and gynaecology He has an interest in high risk pregnancy and health informatics He was the main instigator of one of the rst perinatal databases in the world and has an ongoing ... play an increasing role in these examples G overnance and S t andards o f Pract ice Obstetrics, gynecology and women’s health is a branch of health care involving nursing, midwifery and medicine, ... audit and quality improvement as well as evidence based practice and research led teaching training and clinical work Use of all forms of electronic media in e-learning and in clinical medicine...

Ngày tải lên: 29/03/2014, 11:20

... happening In gynecology, almost anything imagined from dissemination of protocols to remote robotic surgery is feasible In both obstetrics and gynecology there is increasing emphasis on screening and ... practice and research led teaching training and clinical work Use of all forms of electronic media in e-learning and in clinical medicine needs audit to ensure that the technologies being proposed ... III Coding and Messaging Systems for Women’s Health Informatics 38 David Parry, Auckland University of Technology, New Zealand In coding and messaging, the concepts of coding health information...

Ngày tải lên: 29/03/2014, 11:20

... linked to halting the carcinogenic process and preventing frank malignancy Use of such intermediate endpoints would result in tremendous savings in the time and costs involved in trials of chemopreventive ... [1,3–5], and of a whole host of promising findings regarding vitamin, mineral, or full-diet interventions to be replicated in subsequent studies (reviewed in [5]) Intensive efforts to understand those ... genetic testing in this population Mutations in BRCA1 or BRCA2 often cause deletions or insertions resulting in a shortened, inactive protein product Less often, point mutations leading to amino acid...

Ngày tải lên: 16/02/2014, 18:20

... planning training in Maryland family practice and obstetrics/ gynecology residency programs J Am Med Womens Assoc 1999;54:208–10 [36] Landy U Is family planning a subspecialty of obstetrics and gynecology? ... Education in Family Medicine was established in 2004 with the goal of integrating required family planning and abortion rotations in FM residencies in the United States by providing financial support and ... vaginal ring releasing ethinyloestradiol and 3-ketodesogestrel on vaginal flora Contraception 1992;45(5):511–8 [21] Verhoeven CHJ, Dieben TOM The combined contraceptive vaginal ring, NuvaRing, and...

Ngày tải lên: 16/02/2014, 18:20

... on age) Protein Iron Zinc Calcium Vitamin A 46 g/day 15–18 mg 8–9 mg 1000–1300 mg 700 mcg RAE Vitamin C Vitamin D Vitamin E Vitamin K Thiamin Riboflavin Niacin Vitamin B6 Folate Vitamin B12 Pantothenic ... Vaccinations during pregnancy: in uenza, hepatitis B if tests negative, and possibly HPV vaccine if appropriate candidate Laboratory and screening tests Counseling regarding genetic screening ... counseling and testing Optional baseline labs as indicated by history, community prevalence or state regulation Screening for diabetes Tuberculin skin testing Chlamydia and gonorrhea screening Pap...

Ngày tải lên: 16/02/2014, 18:20

... prostaglandins as cervical ripening and labor induction agents included various dosages of intracervical (0.3–0.5 mg) or intravaginal (3–5 mg) dinoprostone (PGE2) In 1992, the US Food and Drug Administration ... variation exists regarding the initial dose of oxytocin and the interval and frequency of dosage increase A controlled intravenous oxytocin infusion remains the preferred method of induction of labor ... Before inducing labor, the obstetrician should review carefully the indications for terminating the pregnancy and obtain informed consent The mother and fetus also should be examined carefully and, ...

Ngày tải lên: 16/02/2014, 18:20

... have a higher incidence of headaches, back pain, vaginal bleeding, vaginal infections, pelvic pain, dyspareunia, urinary tract infections, eating disorders, abdominal pain, gastrointestinal disorders, ... difficulties in finding new housing and obtaining resources for civil litigation Minority women report a higher prevalence of negative experiences, INTIMATE PARTNER VIOLENCE 371 including racism, with institutional ... regularly in both acute-care and office-based settings [4–8,18–23] Accordingly, the American College of Obstetrics and Gynecology (ACOG) recommends routine screening at annual exams, family planning...

Ngày tải lên: 06/03/2014, 11:21

... malpresentation and delay in delivery of the second twin, in particular in vaginal deliveries [41] Perinatal and neonatal care practices that may influence these findings have changed profoundly in recent ... The combination of this increase in numbers, together with increasingly complex care that results in increased survival of tiny infants, has brought about a disproportionate increase in the workload ... fetal medicine specialist for consultation regarding MFPR, prenatal care, and delivery The birth outcomes of 95% of singleton and twin pregnancies and of all triplet and higher-order continuing pregnancies...

Ngày tải lên: 06/03/2014, 12:20

... salpingo-oophorectomy and intraoperative staging [72,73] In nonpregnant women, BEP is the treatment of choice Less frequently the combinations of vinblastine, bleomycin, and cisplatin or vincristine, ... cortisol, insulin, and prolactin Each of these hormones is involved in the increase in breast tissue and the maturation of the ducts and lobules that are required for lactation The circulating progesterone ... demonstrating equivalence between single-agent carboplatin and carboplatin combinations, it may be prudent to limit the chemotherapy to single-agent carboplatin during pregnancy, and consider adding...

Ngày tải lên: 06/03/2014, 12:20

... constraints, G6PD isoenzyme studies were essential in displaying a random pattern of inactivation among multiple tumors, proving that multiple tumors within a single uterus arise independently, and ... proteins HMGA2 and HMGA1 encoded by HMGA2 and HMGA1, respectively, are chromatin architectural and DNA-binding factors that are hypothesized to play a role in genomic stability [117] By binding ... at 7q22 involved in regulating cell growth Further, tumors with this deletion often suffer a loss of chromosomally aberrant cells in culture, suggesting tumor instability and again pointing to...

Ngày tải lên: 15/03/2014, 12:20

... result in the secondary induction of other cytokines, including leukemia inhibiting factor (LIF) and IL-1 and the growth factor heparin-binding epidermal growth factor (HB-EGF) [5] IL-8 and MCP-1 ... steeply declining CA-125 measures 770 E Oral, M.R Genc / Obstet Gynecol Clin N Am 31 (2004) 767–778 ¸ Insulin growth factor binding protein–1 Insulin growth factor binding protein (IGFPB)-1—also ... for inhibin-A in the maintenance of luteal progesterone output [48] It also is believed that inhibin-A plays a part in the cell signaling, and therefore, possibly in trophoblast invasion Inhibin-A...

Ngày tải lên: 15/03/2014, 12:20

... stage in the medication use process, including prescribing, transcribing, dispensing, administering, or monitoring In the ADE Prevention study, which was performed in the in- patient setting, investigators ... issue of the Obstetrics and Gynecology Clinics of North America, edited by Paul Gluck, MD, brings together leading advocates for improving patient safety in general, and in obstetrics and gynecology ... errors include (1) using electronic medical records and e-prescribing, (2) working collaboratively in multidisciplinary teams, and (3) using high-fidelity simulations for learning and for assessing...

Ngày tải lên: 15/03/2014, 12:20

... education Although society demands competency in training and continuing education of airline pilots, little is done in comparison to ensure competency in training and continuing education of gynecologic ... the principles of hands-on apprenticeship with increasing levels of complexity and appropriate mentoring and supervision Training for the surgeon once in practice is not standardized, and in most ... teaching [7] Other investigators have similar findings in an obstetrics and gynecology program Goff and coworkers [8] described pig laboratory teaching sessions on knot tying, suturing, tying...

Ngày tải lên: 22/03/2014, 22:20

... vaccination in women naı¨ ve to HPV 16 and 18 resulted in 100% efficacy against the development of VIN and and VaIN and caused by HPV 16 and 18 over a 3-year period [81] Because VIN and VaIN (particularly ... of VIN and and VaIN and Trials conducted to assess efficacy of the quadrivalent vaccine in prevention of cervical cancer also evaluated the efficacy of the vaccine in preventing VIN 2, and VaIN 2, ... Vulvar intraepithelial neoplasia The rate of VIN has been increasing, and the increase is being seen mainly in premenopausal women [44] Risk factors for VIN include HPV infections, cigarette smoking,...

Ngày tải lên: 29/03/2014, 10:20

... restricted IUI intrauterine insemination IUP intrauterine pregnancy IUPC intrauterine pressure catheter IUT intrauterine transfusion IVC inferior vena cava IVF in vitro fertilization IVP intravenous ... (GFR) increases by 50% early in pregnancy and is maintained until delivery As a result of increased P.6 GFR, blood urea nitrogen and creatinine decrease by about 25% An increase in the renin-angiotensin ... bleeding from the vagina (Table 2-2) Other findings include cramping, abdominal pain, and decreased symptoms of pregnancy The physical examination should include vital signs to rule out shock and...

Ngày tải lên: 13/03/2016, 18:41

... inhibin A (B) Increased AFP, normal intact hCG, normal estradiol, normal inhibin A (C) Decreased AFP, decreased intact hCG, increased estradiol, normal inhibin A (D) Decreased AFP, elevated intact ... hCG, estradiol, inhibin A AFP, estradiol, inhibin A AFP, intact hCG, inhibin A AFP, intact hCG, estradiol The answer is E : AFP, i ntact hCG, estrad i o l Inhibin A is not used in the calculation ... phase) ? (A) (B) (C) (D) Endothelin Decreased connexin -43 Increase in size and number of gap junctions Increase in myometrial receptors for oxytocin and prostaglandins (PGs) (E) Estrogen The answer...

Ngày tải lên: 19/04/2016, 13:47

... umbilicus and the pubic hair line with the abdominal hand, while inserting the index and middle fingers of the vaginal hand into the vagina to approximately inches and gently pushing downward, distending ... examination begins with the inspection and examination of the external genitalia Inspection should include the mons pubis, labia majora and labia minora, perineum, and perianal area Inspection continues ... led to a natural integration of these two areas, and obstetrics and gynecology merged into a single specialty Obstetricians can now undergo further training in maternal fetal medicine, which deals...

Ngày tải lên: 27/07/2016, 17:49

... portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution in patients ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks ... (Tegretal and others), clozapine (Clozaril), droperidol (Inapsine and others), gabapentin (Neurontin), haloperidol (Haldol and others), lamotrigine (Lamictal), lithium (Eskalith and others), metformin...

Ngày tải lên: 25/10/2012, 10:51