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Ob/Gyn Sonography An Illustrated Review 2nd Edition Jim Baun, BS, RDMS, RVT, FSDMS Professional Ultrasound Services San Francisco, California SPECIALISTS IN ULTRASOUND EDUCATION, TEST PREPARATION, AND CONTINUING MEDICAL EDUCATION iv SPECIALISTSCopyright IN ULTRASOUND © 2016, EDUCATION, 2004 by Davies Publishing, Inc. TEST PREPARATION, AND CONTINUINGAll rights MEDICAL reserved. EDUCATION No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopying, scanning, and recording, without prior written permission from the publisher. Davies Publishing, Inc. Michael Davies, Publisher Specialists in Ultrasound Education, Christina J. Moose, Editorial Director Test Preparation, and Continuing Charlene Locke, Production Manager Medical Education Janet Heard, Operations Manager 32 South Raymond Avenue Pasadena, California 91105-1961 Jim Baun, Illustration Phone 626-792-3046 Stephen Beebe, Illustration Facsimile 626-792-5308 Satori Design Group, Inc., Design Email [email protected] www.daviespublishing.com Notice to Users of This Publication: In the field of ultrasonography, knowledge, technique, and best practices are continually evolving. With new research and developing technologies, changes in methodologies, professional prac- tices, and medical treatment may become necessary. Sonography practitioners and other medi- cal professionals and researchers must rely on their experience and knowledge when evaluating and using information, methods, -
27Th ANNUAL RESEARCH DAY & Henderson Lecture
27th ANNUAL RESEARCH DAY & Henderson Lecture FRIDAY, MAY 7, 2010 8:00 a.m. to 6:30 p.m. Northrop Frye Hall, Ground Floor Victoria University, 73 Queen's Park Crescent East University of Toronto M5S 1K7 Lecturer: Jane Norman MD Professor of Maternal and Fetal Health, University of Edinburgh, UK Co-Director, Edinburgh Tommy’s Centre for Maternal and Fetal Health Research Topic: Being Born Too Soon – Do Obstetricians Have Anything To Offer? Abstract deadline: Friday, March 5, 2010 http://www.obgyn.utoronto.ca/Research/ResearchDay.htm For additional information or assistance, please contact Helen Robson at [email protected] PROGRAMME-AT-A-GLANCE (A.M.) Department of Obstetrics & Gynaecology 27th Annual Research Day, Friday, May 7, 2010 Northrop Frye Hall, Victoria University, University of Toronto, 73 Queen’s Park Crescent NF=Northrop Frye Hall Burwash Hall is located at the north end of the Victoria Quad 7:30 a.m. on Poster Set-up for Poster Session I [NF, ground floor, Rms. 004, 006, 007 & 008] 8:00 a.m. Registration & Continental Breakfast [NF, ground floor lobby] 8:25 – 8:30 a.m. Welcome: Dr. Alan Bocking, Chair [NF, ground floor Lecture Hall, Rm. 003] 8:30 – 9:45 a.m. Oral Session I (O1-O5) [NF, ground floor Lecture Hall, Rm. 003] 9:45 – 10:05 a.m. Coffee Break & Poster Session I Walkabout [NF, ground floor lobby; Rms. 004, 006, 007 & 008] 10:05 – 11:05 a.m. Poster Session I Tour [NF, Rms. 004, 006, 007 & 008] Groups A-F Poster Takedown for a.m. -
Herbal Medicines in Pregnancy and Lactation : an Evidence-Based
00 Prelims 1410 10/25/05 2:13 PM Page i Herbal Medicines in Pregnancy and Lactation An Evidence-Based Approach Edward Mills DPh MSc (Oxon) Director, Division of Clinical Epidemiology Canadian College of Naturopathic Medicine North York, Ontario, Canada Jean-Jacques Duguoa MSc (cand.) ND Naturopathic Doctor Toronto Western Hospital Assistant Professor Division of Clinical Epidemiology Canadian College of Naturopathic Medicine North York, Ontario, Canada Dan Perri BScPharm MD MSc Clinical Pharmacology Fellow University of Toronto Toronto, Ontario, Canada Gideon Koren MD FACMT FRCP Director of Motherisk Professor of Medicine, Pediatrics and Pharmacology University of Toronto Toronto, Ontario, Canada With a contribution from Paul Richard Saunders PhD ND DHANP 00 Prelims 1410 10/25/05 2:13 PM Page ii © 2006 Taylor & Francis Medical, an imprint of the Taylor & Francis Group First published in the United Kingdom in 2006 by Taylor & Francis Medical, an imprint of the Taylor & Francis Group, 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Tel.: ϩ44 (0)20 7017 6000 Fax.: ϩ44 (0)20 7017 6699 E-mail: [email protected] Website: www.tandf.co.uk/medicine All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or trans- mitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP. -
Journal of Threatened Taxa
PLATINUM The Journal of Threatened Taxa (JoTT) is dedicated to building evidence for conservaton globally by publishing peer-reviewed artcles OPEN ACCESS online every month at a reasonably rapid rate at www.threatenedtaxa.org. All artcles published in JoTT are registered under Creatve Commons Atributon 4.0 Internatonal License unless otherwise mentoned. JoTT allows unrestricted use, reproducton, and distributon of artcles in any medium by providing adequate credit to the author(s) and the source of publicaton. Journal of Threatened Taxa Building evidence for conservaton globally www.threatenedtaxa.org ISSN 0974-7907 (Online) | ISSN 0974-7893 (Print) Review Ramifications of reproductive diseases on the recovery of the Sumatran Rhinoceros Dicerorhinus sumatrensis (Mammalia: Perissodactyla: Rhinocerotidae) Nan E. Schafer, Muhammad Agil & Zainal Z. Zainuddin 26 February 2020 | Vol. 12 | No. 3 | Pages: 15279–15288 DOI: 10.11609/jot.5390.12.3.15279-15288 For Focus, Scope, Aims, Policies, and Guidelines visit htps://threatenedtaxa.org/index.php/JoTT/about/editorialPolicies#custom-0 For Artcle Submission Guidelines, visit htps://threatenedtaxa.org/index.php/JoTT/about/submissions#onlineSubmissions For Policies against Scientfc Misconduct, visit htps://threatenedtaxa.org/index.php/JoTT/about/editorialPolicies#custom-2 For reprints, contact <[email protected]> The opinions expressed by the authors do not refect the views of the Journal of Threatened Taxa, Wildlife Informaton Liaison Development Society, Zoo Outreach Organizaton, or any of -
Feeding Your Infant in the NICU
Feeding Your Infant in the NICU CEAC 0055 April 2018 *This document was designed to support patients of the former RQHR. Table of Contents Ways Your baby may be fed in NICU 4-5 Nipple shields 6 Bottle Nipples 6 Oral Immune Therapy 6 S.I.N.C. 6 Cue based feeds 7 Baby feeding cues 8 Kangaroo Care (Skin to Skin ) 9 Human Breast Milk and Breastfeeding The benefits of human breast milk 10 When baby is not able to breastfeed Expressing breast milk 11 When to pump 11 How much breast milk should you be expressing 12 Hand expressing breast milk 13 Expressing breast milk using a pump 14 Ameda Platinum® Breast Pump Ameda Platinum® breast pump quick start guide 15 Set up and Assembly of the milk collection system 16 Pump diagram 17 Using the breast pump 18 Troubleshooting the breast pump 19 Storing expressed breast milk 20 Breastfeeding Learning to breastfeed 21 Feeding a sleepy baby 22 Breast compressions 22 Burping baby 22 Breastfeeding positions 23 Latching baby to breast 24 Nipple care 25 Management of nipple pain and trauma 25 1 Table of Contents Build up your milk supply 26 What can decrease your milk supply 26 If baby requires a special formula 26 Going Home How will you continue to breastfeed 27 Cleaning equipment at home 27 Storing breast milk after baby goes home 28 Thawing breast milk at home 28 Taking Care of Yourself Mom’s Nutrition 29-30 Rest 30 Keeping Breasts Healthy Sore Nipples 31 Engorged Breasts 32 Thrush 33 Plugged Ducts 34 Mastitis 35 Cleaning, Equipment, Preparing and Storing Milk Cleaning Breast pump kits at the hospital 36 Cleaning and sterilizing breast pump equipment at home 37 Cleaning and sterilizing bottles and equipment 38 Water to make formula at home 39 How to sterilize water 40 Preparing formula 40-41 Storing formula 42 Contacts & Resources 43-45 Breast pumping log 46-48 Photographs courtesy of RQHR Medical Media Services Department unless otherwise noted. -
Kangaroo Mother Care Training Manual
KANGAROO MOTHER CARE TRAINING MANUAL Federal Ministry of Health November 2008 This publication was made possible through support provided to ACCESS under Cooperative Agreement #GHS-A-00-04-00002-00. The opinions expressed herein are those of the contributors and do not necessarily reflect the views of the United States Agency for International Development, © 2008 TABLE OF CONTENTS Foreword.....................................................................................................................................................iv About This Manual.....................................................................................................................................v Acknowledgements ....................................................................................................................................vi Abbreviations ............................................................................................................................................vii Unit 1: Introduction to Preterm/Low Birth Weight Babies....................................................................1 Unit 4: Kangaroo Mother Care for Low Birth Weight Babies (Practice) ...........................................60 Unit 5: Hypothermia in the Newborn .....................................................................................................71 Unit 6: Counseling on Kangaroo Mother Care ......................................................................................82 Unit 7: KMC Unit Discharge, Follow-Up, Readmission, -
Sperm Aneuploidy and DNA Fragmentation in Unexplained
Esquerré-Lamare et al. Basic and Clinical Andrology (2018) 28:4 https://doi.org/10.1186/s12610-018-0070-6 RESEARCH ARTICLE Open Access Sperm aneuploidy and DNA fragmentation in unexplained recurrent pregnancy loss: a multicenter case-control study Camille Esquerré-Lamare1,2, Marie Walschaerts1,2, Lucie Chansel Debordeaux3, Jessika Moreau1,2, Florence Bretelle4, François Isus1,5, Gilles Karsenty6, Laetitia Monteil7, Jeanne Perrin8,9, Aline Papaxanthos-Roche3 and Louis Bujan1,2* Abstract Background: Recurrent pregnancy loss (RPL) is defined as the loss of at least three pregnancies in the first trimester. Although the most common cause is embryo aneuploidy, and despite female checkup and couple karyotyping, in about 50% of cases RPL remain unexplained. Male implication has little been investigated and results are discordant. In this context, we conducted a multi-center prospective case-control study to investigate male gamete implication in unexplained RPL. Methods: A total of 33 cases and 27 controls were included from three university hospitals. We investigated environmental and family factors with a detailed questionnaire and andrological examination, sperm characteristics, sperm DNA/chromatin status using the sperm chromatin structure assay (SCSA) and terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) and sperm aneuploidy using fluorescence in situ hybridization (FISH). The Mann-Whitney test and the Wilcoxon or Fisher exact tests were used. A non-parametric Spearman correlation was performed in order to analyze the relationship between various sperm parameters and FISH and sperm DNA fragmentation results. Results: We found significant differences between cases and controls in time to conceive, body mass index (BMI), family history of infertility and living environment. -
Kangaroo Mother Care: a Multi-Country Analysis of Health
Vesel et al. BMC Pregnancy and Childbirth 2015, 15(Suppl 2):S5 http://www.biomedcentral.com/1471-2393/15/S2/S5 RESEARCH Open Access Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions Linda Vesel1,2*, Anne-Marie Bergh3, Kate J Kerber4, Bina Valsangkar4, Goldy Mazia5, Sarah G Moxon4,6,7, Hannah Blencowe4,6,7, Gary L Darmstadt8, Joseph de Graft Johnson4,5, Kim E Dickson2, Juan Gabriel Ruiz Peláez9,10,11, Severin Ritter von Xylander12, Joy E Lawn4,6,7, On behalf of the KMC Research Acceleration Group Abstract Background: Preterm birth is now the leading cause of under-five child deaths worldwide with one million direct deaths plus approximately another million where preterm is a risk factor for neonatal deaths due to other causes. There is strong evidence that kangaroo mother care (KMC) reduces mortality among babies with birth weight <2000 g (mostly preterm). KMC involves continuous skin-to-skin contact, breastfeeding support, and promotion of early hospital discharge with follow-up. The World Health Organization has endorsed KMC for stabilised newborns in health facilities in both high-income and low-resource settings. The objectives of this paper are to: (1) use a 12-country analysis to explore health system bottlenecks affecting the scale-up of KMC; (2) propose solutions to the most significant bottlenecks; and (3) outline priority actions for scale-up. Methods: The bottleneck analysis tool was applied in 12 countries in Africa and Asia as part of the Every Newborn Action Plan process. Country workshops involved technical experts to complete the survey tool, which is designed to synthesise and grade health system “bottlenecks”, factors that hinder the scale-up, of maternal-newborn intervention packages. -
MCN0517 Global Health 00111 Dharam.Indd
1.5 ANCC Contact Hours Jake Lyell / Alamy Stock Photo Stock Alamy / Jake Lyell Global Health of Babies and Children Abstract Purpose: We provide an overview of the health of neonates, infants, and children around the world. Issues in maximizing neonatal health are examined using the Sustainable Development Goals developed by the United Nations as a framework. Recommendations: Interventions that can help optimize neonatal, infant, and child health in the future are reviewed, including increasing preventative healthcare (immunizations, malaria prevention, exclusive breastfeeding for the fi rst 6 months of life), enhancing point-of-care interventions (including umbilical cord care, antenatal corticosteroids if preterm birth is anticipated, and antibiotic therapy), enhancing nutritional interventions (to decrease diarrheal diseases and decrease wasting, stunting, and underweight), and building systems capacity. Clinical Implications: In an increasingly global world where wars, climate change, civil unrest, and economic uncertainty all infl uence health, it is important that nurses understand global health problems common for neonates, infants, and children and current recommendations to enhance their health. Key words: Global health; Infant mortality; Neonatal health; World Health Organization. Susan Gennaro, PhD, RN, FAAN, Caitlin O’Connor, MSN, RN, CPNP, and Megan Marx 132 volume 42 | number 3 May/June 2017 Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. tion management and care of low birthweight or preterm The Infl uence of Humanitarian newborns (Lam et al., 2012). Barriers to providing ade- Emergencies on Neonatal Health quate care during humanitarian crisis result from lack of eonatal health is very dependent on the funds, and shortages of healthcare personnel (Lam et al.). -
Kohinoor Group Publication
A KOHINOOR GROUP PUBLICATION October 2009 - March 2010 Vol 7 Issue 4 - Vol 8 Issue 1 he Kohinoor Group's first multi-specialty T Hospital, located at Kohinoor City, Kurla- May Gudi Padva Vidyavihar, was inaugurat- usher in a ed by the Hon'ble Chief year of peace Minister, Shri Ashok and prosperity Chavan in the presence of Chief Guest Hon'ble Shiv Sena Executive President, Shri Uddhav Thackeray, on Mr Sudesh Bhelekar, Sunday, 20 December, 2009. General Manager-MEP, Kohinoor Hospital has Kohinoor Planet earned the distinction of Constructions Pvt Ltd becoming the first hospital (KPCPL) elaborates on in the Asian continent, and LEED Platinum Rating second in the world to win achieved for Kohinoor Hospital. Leed Platinum Rating under The LEED Platinum plaque was presented to Kohinoor CMD Unmesh Joshi by the Hon'ble Chief Minister of Maharashtra, Shri Ashok Chavan, in the presence of Indian Green Building Council Chairman, Dr Prem Jain, on the the Leadership in Energy What were the measures and Environmental Design - occasion of the inauguration of Kohinoor Hospital. Other dignitaries seen in the pic (from l to r) are Mayor of Mumbai, Smt Shraddha Jadhav, Hon'ble Shiv Sena Executive President, Shri Uddhav Thackeray, Kohinoor Founder, taken by the Kohinoor LEED Green Building Shri Manohar Joshi and Minister of State for Home (Urban) of Maharashtra, Shri Naseem Khan Hospital construction Rating System. The LEED team to achieve Platinum India Platinum plaque was Rating? presented to Kohinoor CMD ◗ Right from the design Unmesh Joshi during the Asia's First LEED Platinum Rated Hospital stage and even during ceremony in the presence of construction, all requirements of green Kohinoor Founder Shri buildings were put into Manohar Joshi, Indian KOHINOOR HOSPITAL process so as not to miss Green Building Council out on any details which (IGBC) Chairman Dr Prem would affect savings Jain, Minister of State for envisaged for the future. -
Kangaroo Care
Kangaroo Care Objectives • Give the learner a history of Kangaroo Care • Give the learner a good understanding of KC • Give the learner enough knowledge of KC to promote the correct use of it in our NICU • Give the learner enough knowledge of KC to teach parents and families to continue it at home Definition Kangaroo Care is a special way to hold an infant where the infant is held skin to skin and chest to chest so that the entire ventral surface from umbilicus to sternum of the infant is up against the mother’s ventral surface. There are very sensitive cells in this area that can create a vagal-induced hormonal cascade that does not occur anywhere else in the body. History of Kangaroo Care • In the 1970’s, Dr. Edgar Rey and Dr. Hector Martinez from the Institito Maternal-Infantil in Bogota, Columbia visited a mountain village. • They witnessed a grandmother carrying a small baby skin to skin between her breasts under clothing and wraps that made a pouch. • They said it reminded them of how a kangaroo carries a baby in its pouch. History of Kangaroo Care • They decided to try this in their unit where: • average temperature was 50 degrees • no formula was available • mother often not available • mortality rate was nearly 80% History of Kangaroo Care • Mortality rate was primarily due to infections: • nutrition- not mom’s own milk • bed sharing- 2-3 infants per incubator • inadequate cleansing capabilities • lack of sterile supplies (rinse and reuse IV bags and tubing) • nurse to baby ratio was 1:65 History of Kangaroo Care • Instituted Kangaroo Care in 1979. -
Maharashtra Vidhan Sabha Candidate List.Xlsx
List of All Maharashtra Candidates Lok Sabha Vidhan Sabha BJP Shiv Sena Congress NCP MNS Others Special Notes Constituency Constituency Vishram Padam, (Raju Jaiswal) Aaditya Thackeray (Sunil (BSP), Adv. Mitesh Varshney, Sunil Rane, Smita Shinde, Sachin Ahir, Ashish Coastal road (kolis), BDD chawls (MHADA Dr. Suresh Mane Vijay Kudtarkar, Gautam Gaikwad (VBA), 1 Mumbai South Worli Ambekar, Arjun Chemburkar, Kishori rules changed to allow forced eviction), No (Kiran Pawaskar) Sanjay Jamdar Prateep Hawaldar (PJP), Milind Meghe Pednekar, Snehalata ICU nearby, Markets for selling products. Kamble (National Peoples Ambekar) Party), Santosh Bansode Sewri Jetty construction as it is in a Uday Phanasekar (Manoj Vijay Jadhav (BSP), Narayan dicapitated state, Shortage of doctors at Ajay Choudhary (Dagdu Santosh Nalaode, 2 Shivadi Shalaka Salvi Jamsutkar, Smita Nandkumar Katkar Ghagare (CPI), Chandrakant the Sewri GTB hospital, Protection of Sakpal, Sachin Ahir) Bala Nandgaonkar Choudhari) Desai (CPI) coastal habitat and flamingo's in the area, Mumbai Trans Harbor Link construction. Waris Pathan (AIMIM), Geeta Illegal buildings, building collapses in Madhu Chavan, Yamini Jadhav (Yashwant Madhukar Chavan 3 Byculla Sanjay Naik Gawli (ABS), Rais Shaikh (SP), chawls, protests by residents of Nagpada Shaina NC Jadhav, Sachin Ahir) (Anna) Pravin Pawar (BSP) against BMC building demolitions Abhat Kathale (NYP), Arjun Adv. Archit Jaykar, Swing vote, residents unhappy with Arvind Dudhwadkar, Heera Devasi (Susieben Jadhav (BHAMPA), Vishal 4 Malabar Hill Mangal