Topic N 26: Organization of the Gynecological Hospital. Research Methods in Gynecology. the Main Indicator of the Effectiveness
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Mifepristone
Mifepristone sc-203134 Material Safety Data Sheet Hazard Alert Code EXTREME HIGH MODERATE LOW Key: Section 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME Mifepristone STATEMENT OF HAZARDOUS NATURE CONSIDERED A HAZARDOUS SUBSTANCE ACCORDING TO OSHA 29 CFR 1910.1200. NFPA FLAMMABILITY1 HEALTH0 HAZARD INSTABILITY0 SUPPLIER Company: Santa Cruz Biotechnology, Inc. Address: 2145 Delaware Ave Santa Cruz, CA 95060 Telephone: 800.457.3801 or 831.457.3800 Emergency Tel: CHEMWATCH: From within the US and Canada: 877-715-9305 Emergency Tel: From outside the US and Canada: +800 2436 2255 (1-800-CHEMCALL) or call +613 9573 3112 PRODUCT USE ■ Steroid. Abortifacient steroid. Progesterone receptor antagonist. Binds strongly to progesterone and glucocorticoid recptors, weakly to androgen receptors, but has no anti-oestrogenic or mineralocorticoid activity. Inhibits ovulation when given in the late follicular phase of the menstrual cycle. SYNONYMS C29-H35-N-O2, C29-H35-N-O2, "estra-4, 9-diene-3-one, ", "estra-4, 9-diene-3-one, ", "11-[4-(dimethylamino)phenyl]-17- hydroxy-17-(1-propynyl)-, (11beta, ", 17beta)-, "11-[4-(dimethylamino)phenyl]-17-hydroxy-17-(1-propynyl)-, (11beta, ", 17beta)-, 17beta-hydroxy-11beta-(4-dimethylaminophenyl-1)-, "17alpha-(prop-1-ynyl)oestra-4, 9-dien-3-one", "17alpha-(prop- 1-ynyl)oestra-4, 9-dien-3-one", Mifegyn, R-38486, R-38486, "RU 486", RU-486-6, "RU 38486", "abortifacient oestrogen/ estrogen steroid", "morning after pill" Section 2 - HAZARDS IDENTIFICATION CANADIAN WHMIS SYMBOLS EMERGENCY OVERVIEW RISK May impair fertility. May cause harm to the unborn child. Toxic to aquatic organisms, may cause long-term adverse effects in the aquatic environment. -
The First Answer (A) Is Correct! 1
The first answer (A) is correct! 1. 2. A 32 y.o. woman consulted a gynecologist about having abundant long menses within 3 months. Bimanual investigation: the body of the uterus is enlarged according to about 12 weeks of pregnancy, distorted, tuberous, of dense consistence. Appendages are not palpated. Histological test of the uterus body mucosa: adenocystous hyperplasia of endometrium. Optimal medical tactics: A. Surgical treatment B. Hormonetherapy C. Phytotherapy D. Radial therapy E. Phase by phase vitamin therapy 2. 3. A woman was hospitalised with fullterm pregnancy. In survey: the uterus is morbid, the abdomen is tense, heart sounds of the fetus are not auscultated. What is the most probable complication of pregnancy? A. Premature detachment of the normally posed placenta B. Preterm labour C. Back occipital presentation D. Acute hypoxia of a fetus E. Hydramnion 3. 4. By the end of the 1st period of physiological labour the clear amniotic waters were given vent. Contractions lasted 35-40 sec every 4-5 min. Palpitation of the fetus is 100 bpm. The AP is 140/90 mm Hg. Diagnosis: A. Acute hypoxia of the fetus B. Labors before term C. Premature detachment of normally posed placenta D. Back occipital presentation E. Hydramnion 4. 6. Which gestational age gives the most accurate estimation of weeks of pregnancy by uterine size? A. Less that 12 weeks B. Between 12 and 20 weeks C. Between 21 and 30 weeks D. Between 31 and 40 weeks E. Over 40 weeks 5. 7. A number of viable fetuses per 1000 women at the age between 15 and 44 is determined by: A. -
O-1 the Epithelial-To-Mesenchymal Transition Protein Periostin Is
Virchows Arch (2008) 452 (Suppl 1):S1–S286 DOI 10.1007/s00428-008-0613-x O-1 O-2 The epithelial-to-mesenchymal transition protein Squamous cell carcinoma of the lung: polysomy periostin is associated with higher tumour stage of chromosome 7 and wild type of exon 19 and 21 and grade in non-small cell lung cancer were defined for the EGFR gene Alex Soltermann; Laura Morra; Stefanie Arbogast; Vitor Sousa; Maria Silva; Ana Alarcão; Patrícia Peter Wild; Holger Moch, Glen Kristiansen Couceiro; Ana Gomes; Lina Carvalho Institute for Surgical Pathology Zürich, Switzerland Instituto de Anatomia Patológica - Faculdade de Medicina da Universidade de Coimbra, Portugal Background: The epithelial-to-mesenchymal transition (EMT) is vital for morphogenesis and has been implicated BACKGROUND: The use of tyrosine kinase inhibitors in cancer invasion. EMT of carcinoma cells can be defined after first line chemotherapy, induced several studies to by morphological trans-differentiation, accompanied by determine molecular characteristics in non-small-cell lung permanent cytosolic overexpression of mesenchymal pro- cancer to predict the response to those drugs. teins, which are normally expressed in the peritumoural The present study was delineated to clarify the status of stroma. We aimed for correlating the expression levels of EGFR gene by Fluorescence in situ Hibridization(FISH), the EMT indicator proteins periostin and vimentin with Polimerase Chain Reaction (PCR) and Immunohistochem- clinico-pathological parameters of non-small cell lung ical protein expression in 60 cases of squamous cell cancer (NSCLC). Method: 538 consecutive patients with carcinoma of the lung after surgical resection of tumours surgically resected NSCLC were enrolled in the study and a in stages IIb/IIIa. -
Prevalence and Factors Associated with Cracked Nipples in the First Month Postpartum
Santos et al. BMC Pregnancy and Childbirth (2016) 16:209 DOI 10.1186/s12884-016-0999-4 RESEARCH ARTICLE Open Access Prevalence and factors associated with cracked nipples in the first month postpartum Kamila Juliana da Silva Santos1,3*, Géssica Silva Santana1, Tatiana de Oliveira Vieira1, Carlos Antônio de Souza Teles Santos1, Elsa Regina Justo Giugliani2 and Graciete Oliveira Vieira1 Abstract Background: To assess the prevalence and factors associated with the occurrence of cracked nipples in the first month postpartum. Methods: This was a cross-sectional study nested in a cohort of mothers living in Feira de Santana, state of Bahia, northeastern Brazil. Data from 1,243 mother-child dyads assessed both at the maternity ward and 30 days after delivery were analyzed. The association between cracked nipples as reported by mothers and their possible determinants was analyzed using Poisson regression in a model where the variables were hierarchically organized into four levels: distal (individual characteristics), distal intermediate (prenatal characteristics), proximal intermediate (delivery characteristics), and proximal (postnatal characteristics). Results: The prevalence of cracked nipples was 32 % (95 % confidence interval [95 % CI] 29.4–34.7) in the first 30 days postpartum. The following factors showed significant association with the outcome: poor breastfeeding technique (prevalence ratio [PR] = 3.18, 95 % CI 2.72–3.72); breast engorgement (PR = 1.70, 95 % CI 1.46–1.99); birth in a maternity ward not accredited by the Baby-Friendly Hospital Initiative (PR = 1.51, 95 % CI 1.15–1.99); cesarean section (PR = 1.33, 95 % CI 1.13–1.57); use of a feeding bottle (PR = 1.29, 95 % CI 1.06–1.55); and higher maternal education level (PR = 1.23, 95 % CI 1.04–1.47). -
121 Акушерство Та Гінекологія Modern Approaches to The
Акушерство та гінекологія УДК 618.11-006.2-08:618.177-089.888.11 DOI 10.11603/24116-4944.2020.1.11496 ©S. V. Khmil, I. Ya. Pidhaina, I. I. Kulyk I. Horbachevsky Ternopil National Medical University Medical Center “Professor Stefan Khmil Clinic” MODERN APPROACHES TO THE TREATMENT OF ENDOMETRIOID CYSTS BEFORE CONTROLLED OVARIAN STIMULATION PROTOCOLS The article is devoted to the current problem of endometriosis-associated infertility. In recent years, a great deal of information has been accumulated on the etiology, diagnosis and treatment of genital endometriosis and endometriosis-associated infertility. According to world studies, endometriosis remains one of the most pressing problems in modern gynecology. This is evidenced by statistics showing that the disease occurs in every 10 women of fertile age, and a total of 176 million women worldwide. Ap- proximately 20–50 % of women included in this number have a problem of infertility. Hence, the problem of this disease is not only a medical but also a social problem. Conclusions. The tactics of treatment of patients with endometriosis who are planning a pregnancy and are included in the ART protocols are significantly different from the tactics of treatment of patients who believe that they have performed reproductive function. Key words: endometriosis; infertility; in vitro fertilization; sclerotherapy. СОВРЕМЕННЫЕ ПОДХОДЫ К ЛЕЧЕНИЮ ЭНДОМЕТРИОИДНЫХ КИСТ ПЕРЕД ПРОТОКОЛАМИ КОНТРОЛИРУЕМОЙ ОВАРИАЛЬНОЙ СТИМУЛЯЦИИ (КОС) Статья посвящена актуальной проблеме современности – эндометриоз-ассоциированному бесплодию. В последние годы накопилось много информации по этиологии, диагностике и лечению генитального эндометриоза и эндометриоз- ассоциированного бесплодия. По данным мировых исследований, эндометриоз остается одной из наиболее актуальных проблем в современной гинекологии. -
PREGNANCY a to Z
PREGNANCY A to Z PREGNANCY A to Z A simple guide to pregnancy, its investigations, stages, complications, anatomy, terminology and conclusion Dr. Warwick Carter 2 PREGNANCY A to Z The pregnant woman has the amazing ability to turn hamburgers and vegetables into a baby. The most important thing you ever do in life is choose your parents. 3 PREGNANCY A to Z PREGNANCY The first sign that a woman may be pregnant is that she fails to have a menstrual period when one is normally due. At about the same time as the period is missed, the woman may feel unwell, unduly tired, and her breasts may become swollen and uncomfortable. A pregnant woman should not smoke because smoking adversely affects the baby's growth, and smaller babies have more problems in the early months of life. The chemicals inhaled from cigarette smoke are absorbed into the bloodstream and pass through the placenta into the baby's bloodstream, so that when the mother has a smoke, so does the baby. Alcohol should be avoided especially during the first three months of pregnancy when the vital organs of the foetus are developing. Later in pregnancy it is advisable to have no more than one drink every day with a meal. Early in the pregnancy the breasts start to prepare for the task of feeding the baby, and one of the first things the woman notices is enlarged tender breasts and a tingling in the nipples. With a first pregnancy, the skin around the nipple (the areola) will darken, and the small lubricating glands may become more prominent to create small bumps. -
062160 MCHR NEWS #24 FA 25/11/05 4:00 PM Page 4
062160 MCHR NEWS #24 FA 25/11/05 4:00 PM Page 4 Department of Communities acknowledged MOSAIC mentor mother co-ordinator, and MOSAIC MOSAIC’s strong community partnership Jan Wiebe, MOSAIC research officer. They with maternal and child health nurse teams, are pictured here, together with Chief divisions of general practice, and women’s Investigators Angela Taft, Rhonda Small implementation health services in the north-west region of and Judith Lumley, and Kim Hoang, our Melbourne. research and project officer with the – funded The Hon Mary Delahunty MLA, Minister for Vietnamese community. Women's Affairs, will launch MOSAIC on Project update: MOSAIC has now at last! Angela Taft 12 December at Richmond Town Hall. completed training with six maternal and The launch will provide a wonderful child health nurse teams and 21 GPs from MCHR NEWS We have been outlining the gradual opportunity to celebrate the project with 17 general practices. These nurse teams development of the MOSAIC (Mothers’ our community partners and the mentor and practices have been randomised to Advocates In the Community) cluster mothers who have all supported MOSAIC comparison and intervention arms of the randomised trial over previous centre with such enthusiasm and commitment trial and referrals to the study have now newsletters. Readers will know that during our quest for funding. commenced. Further GP recruitment and Della Forster’s thesis Breastfeeding – Jane Yelland’s studies culminated in her MOSAIC aims to evaluate the role of making a difference: predictors, women’s thesis Changing maternity care: an evaluation MOSAIC has also recently welcomed two training will continue early in 2006. -
Table of Contents
Introduction to NAC OSCE General Information............................................................... Registration for NAC OSCE................................................ Fees......................................................................................... Examination station............................................................... NAC OSCE scoring.............................................................. Sample of Therapeutic written test........................................ Sample clinical case station.................................................... Therapeutic Guidelines Medicine Cardiology.............................................................................. Dermatology........................................................................... Endocrinology........................................................................ Gastroentermogy.................................................................... Hematology............................................................................ Infectious Diseases................................................................. Neurology............................................................................... Otolaryngology...................................................................... Pulmonology.......................................................................... Rheumatology........................................................................ Nephrology/Urology............................................................. -
Ovarian Hyperstimulation Syndrome - As a Complication of Ovulation Induction
Central Asian Journal of Pediatrics Volume 2 Issue 2 Article 23 6-20-2019 OVARIAN HYPERSTIMULATION SYNDROME - AS A COMPLICATION OF OVULATION INDUCTION M.Z. Kurbaniyazova Urgench branch of Tashkent Medical Academy,Uzbekistan., [email protected] G.D. Matrizayeva Urgench branch of Tashkent Medical Academy,Uzbekistan. Z.A. Duschanova Urgench branch of Tashkent Medical Academy,Uzbekistan. N.R. Saparbayeva Urgench branch of Tashkent Medical Academy,Uzbekistan. Follow this and additional works at: https://uzjournals.edu.uz/pediatrics Recommended Citation Kurbaniyazova, M.Z.; Matrizayeva, G.D.; Duschanova, Z.A.; and Saparbayeva, N.R. (2019) "OVARIAN HYPERSTIMULATION SYNDROME - AS A COMPLICATION OF OVULATION INDUCTION," Central Asian Journal of Pediatrics: Vol. 2 : Iss. 2 , Article 23. Available at: https://uzjournals.edu.uz/pediatrics/vol2/iss2/23 This Article is brought to you for free and open access by 2030 Uzbekistan Research Online. It has been accepted for inclusion in Central Asian Journal of Pediatrics by an authorized editor of 2030 Uzbekistan Research Online. For more information, please contact [email protected]. OVARIAN HYPERSTIMULATION SYNDROME - AS A COMPLICATION OF OVULATION INDUCTION Cover Page Footnote Urgench branch of Tashkent Medical Academy,Uzbekistan. This article is available in Central Asian Journal of Pediatrics: https://uzjournals.edu.uz/pediatrics/vol2/iss2/23 CENTRAL ASIAN JOURNAL OF PEDIATRICS 2(2)2019 UDK 616-053.31:577.118 OVARIAN HYPERSTIMULATION SYNDROME - AS A COMPLICATION OF OVULATION INDUCTION M.Z. Kurbaniyazova, G.D. Matrizayeva, Z.A. Duschanova, N.R. Saparbayeva, MEDICINE KH.S. Ikramova, G.N. Bekbaulieva, F.M. Ayupova Tashkent Medical Academy, Urgench branch of the Ministry of Health of Uzbekistan Resume PRACTICAL Despite such a well-developed medicine, the number of infertile couples increase every year and the problem of - anovulation remains relevant. -
Krok 2. Medicine
Sample test questions Krok 2 Medicine () Терапевтичний профiль 2 1. A 25-year-old woman has been A. Transfer into the inpatient narcology suffering from diabetes mellitus since she department was 9. She was admitted into the nephrology B. Continue the treatment in the therapeutic unit with significant edemas of the face, arms, department and legs. Blood pressure - 200/110 mm Hg, C. Transfer into the neuroresuscitation Hb- 90 g/L, blood creatinine - 850 mcmol/L, department urine proteins - 1.0 g/L, leukocytes - 10-15 in D. Compulsory medical treatment for the vision field. Glomerular filtration rate - alcoholism 10 mL/min. What tactics should the doctor E. Discharge from the hospital choose? 5. After eating shrimps, a 25-year-old man A. Transfer into the hemodialysis unit suddenly developed skin itching, some areas B. Active conservative therapy for diabetic of his skin became hyperemic or erupted into nephropathy vesicles. Make the diagnosis: C. Dietotherapy D. Transfer into the endocrinology clinic A. Acute urticaria E. Renal transplantation B. Hemorrhagic vasculitis (Henoch-Schonlein purpura) 2. A 59-year-old woman was brought into the C. Urticaria pigmentosa rheumatology unit. Extremely severe case D. Psoriasis of scleroderma is suspected. Objectively she E. Scabies presents with malnourishment, ”mask-like” face, and acro-osteolysis. Blood: erythrocytes 6. A 25-year-old woman complains of fatigue, - 2.2 · 109/L, erythrocyte sedimentation rate - dizziness, hemorrhagic rashes on the skin. 40 mm/hour. Urine: elevated levels of free She has been presenting with these signs for a · 12 oxyproline. Name one of the most likely month. -
Ruptured Ovary Medical Term
Ruptured Ovary Medical Term Renowned and transverse Samuele unfeudalize: which Hailey is pretentious enough? Witty often muffs solitarily when Babist Waite thirstilyridged peristaltically and the. and bonk her keratosis. Butler usually underdrawings movelessly or lash ascetic when uneducated Aguinaldo tipples You were used when to medical term used While pressing against your ovaries also rupture causing painful, medication monitoring your gynaecologist should you about whether it. An unusually small pouches that cureus is called a term used to address must be expected to be careful not. Thanks to have symptoms, though most women will fall off its way. We reviewed and analyzed the medical records of 11 patients mean. How do ovarian cysts affect fertility Extend Fertility. Functional cysts are reading most lucrative type These would occur in women who have lost gone through menopause They often exactly when an egg doesn't release front the ovary during ovulation These cysts are full most common water to rupture. You may be indicative of medical term used to reduce the ovaries releases an apparent peritoneal washings. This information Your axis of this information means that you chant to the Terms always Use. Scientific research to produce painful, educational level is truly compete on. STDs very efficient especially if difficulty're in time long-term monogamous relationship. Patient education website is considerable momentum in medical term used to rupture took place in your ovaries while endometriosis or sustain a field of imminent rupture. He or ruptured, medication monitoring your medical term used in terms are situated to? Douglas and ruptured ovarian cysts can be taken during pregnancy cases these terms of. -
On the Sitting of Chair of Obstetrics and Gynecology №1 of UMSA (Protocol №1 from 28
Ministry of Public Heals Service of Ukraine «Ukrainian Medical Stomatological Academy» «APPROVING» on the sitting of chair of obstetrics and gynecology №1 of UMSA (protocol №1 from 28. 08. 2020) Acting manager of chair of obstetric and gynecology №1 professor ____________A.M. Gromova METHODICAL POINTING for the independent work of students for preparation to practical lesson Educational subject Gynecology Modul № 1 Subject of lesson “Acute abdomen” in gynecology: ectopic pregnancy, ovarian apoplexy, rupture of capsules ovarian tumor, rupture purulent tuboovarial tumor, torsion of ovarian tumor crus, malnutrition fibromatous site. Course IV faculty International faculty (specialty “medicine") Poltava – 2020 Topic: “Acute abdomen” in gynecology: ectopic pregnancy, ovarian apoplexy, rupture of capsules ovarian tumor, rupture purulent tuboovarial tumor, torsion of ovarian tumor crus, malnutrition fibromatous site. Groups diseases of internal female reproductive organs, where there is clinical acute abdomen • Acute bleeding of organs: - Ectopic pregnancy; - Ovarian apoplexy + rupture of cyst; - Traumatic injury of the uterus (iatrogenic or criminal origin). • Acute circulatory disorders in tumors : - Ovarian torsion stem tumor; - Malnutrition fibromatous site. • Acute purulent diseases of organs with subsequent peritonitis: - Piosalpinks and piovar, tuboovarialnogo festering tumor; - Pelvioperitonitis; - Diffuse peritonitis. ECTOPIC PREGNANCY Pregnancy is called ectopic when it fertilized ovum implants outside the borders of uterine cavity. Ectopic is one of the most serious gynecological diseases, because its interruption is followed by considerable intraperitoneal bleeding and needs emergency service. Etiology. Anatomic changes in tissues of uterine tube that appear in the result of inflammatory processes are the main causes of the violation of ovum transport and ectopic pregnancy. Inflammation of mucous membrane, its edema and presence of inflammatory exudate in acute and chronic stages may cause dysfunction of uterine tubes.