medicolegal considerations in obstetrics and gynecology

... 1Doppler in Obstetrics and Gynecology: Principles and Practice Alexander D Kofinas, MD Associate Professor of Clinical OB/GYN Cornell University, College of Medicine Introduction The intent ... three indices were found to correlate well with the actual impedance to flow One may use any one index of the three There are certain considerations to keep in mind regarding the clinical and statistical ... problem since these vessels are unique in the maternal body and only during pregnancy (Fig 3) In contrast, examination of the numerous uterine vessels can be very confusing (Fig 4) In fact, this

Ngày tải lên: 13/02/2014, 06:20

... marker in the third trimester includes abnormality of the uterine bladder interface This includes interruption of the line, thickening of the line, irregularity of the line, or increase line vascularity ... findings in placenta accreta MRI FINDINGS IN PLACENTA ACCRETA Although this represents an electronic book on obstetric and gynecologic ultrasound, we added this section on MRI findings in ... cut-offs of 2 cm and 8 cm to define oligohydramnios and polyhydramnios in twin gestation respectively and these limits have been used in the diagnosis of twin-twin transfusion syndrome in monochorionic

Ngày tải lên: 20/01/2020, 13:25

... Editors Medicolegal Issues in Obstetrics and Gynaecology Trang 2Medicolegal Issues in Obstetrics and GynaecologyTrang 3Swati Jha • Emma Ferriman EditorsMedicolegal Issues in Obstetrics and Gynaecology ... the original injury but also by a failure to provide information, an explanation and an apology Insensitive handling of an injury and poor communication after the original incident increases ... fix the injury They explained that it appeared there had been a delay in recognising the injury, and that in hindsight the presence of blood in her urine should have triggered earlier investigations,

Ngày tải lên: 25/11/2022, 19:48

... compe-tence in both their consultation and technical skills during training and in subsequent practice (NICE CG44) [3] Those surgeons undertaking training should be assessed by trainers through ... counselling and choices provided • Preoperative investigation • Consent and discussion of complications • Training of the surgeon • Complications arising during or after the sur-gery and failing ... correlated inversely with the occur-rence of urinary tract injuries in laparoscopic hysterectomy and bowel injuries in vaginal terectomy Makinen et al [6] then published a ten year follow up and noted

Ngày tải lên: 25/11/2022, 19:49

... Sociedad Argentina de Ultrasonograf´ıa en Medicina y Biolog´ıa, Argentina C Ebbing, Department of Obstetrics and Gynecology, Haukeland University Hospital, and Department of Clinical Medicine, University ... Department of Obstetrics and Gynecology Amsterdam UMC, Amsterdam and Academic Medical Center Groningen, University of Groningen, Groningen, The Netherlands Gynaekologie und Geburtshilfe, Innsbruck, ... Medicine Unit, St George’s University Hospital and St George’s University of London, London, UK G Acharya, Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and

Ngày tải lên: 27/04/2024, 00:01

... substance bradykinin is formed from protein precursors (kininogens) in the plasma and tissues under the influence of the kallikrein enzymes Bradykinin is inactivated by angiotensin­converting enzyme ... the upper small intestine (vitamin B12 is absorbed in the terminal ileum) The reactions in the small intes­ tine are shown in Table 10.11.Small intestinal secretions are mainly induced by reflexes ... 0.18 As the RPF falls in hypotension, the filtration fraction increases, thus maintaining the GFR Handling of individual substances Glucose and amino acids Glucose and amino acids are reabsorbed

Ngày tải lên: 20/01/2020, 13:37

... career in obstetrics and gynaecology Trang 9 Outline of the course Day one ■ Introduction to the course ■ Handling instruments, abdominal entry and suturing techniques (Practical) ■ Interrupted ... sutures (including mattress and fi gure of eight), continuous sutures (including locked and subcuticular), mattress, subcuticular suturing and knot tying (Video, demonstration and practical) ■ Principles ... incision to grasp the drain tubing without bursting the balloon and pull through the abdominal wall and fi x the drain with a stitch on the skin 2 Proceed to close the incision by inserting

Ngày tải lên: 20/01/2020, 15:08

... the corner-stone of caring relationships, ensuring adequate train-ing and support to maintain empathetic skills is critical during training years and beyond Incorporating the essential communication ... pertinent skills and acquire psychosocial competence through formal training Specialist societies in general and ISPOG in particular have an indispensable role not only in devising such train-ing ... www.ebcog.eu Promoting and Implementing the Biopsychosocial Perspective in Obstetrics and Gynaecology Trang 202 and Well-Being in Women ’s HealthSusan Ayers and Elizabeth Ford Introduction Women’s

Ngày tải lên: 20/01/2020, 19:52

... globin chains In adult and fetal haemoglobins, two of these chains are always α The type of haemoglobin is determined by the type of chain linked to these α chains: adult HbA has β chains and ... result-ing in lung disease (recurrent bacterial infections), pancreatic insufficiency and male infertility Patients often present in infancy, with respiratory and gastroin-testinal problems, and ... with splicing the exons together leading to incorrect sequence in the messen-ger RNA and thus in the protein (see Ch 1) Deletions and insertions can also occur which may involve a single base,

Ngày tải lên: 21/01/2020, 13:28

... and victims may berequired to remain in soiled clothing and underclothesand not wash Insufficient priority may be given totraining medical forensic personnel in accommodatingvictims’ physical and ... would be beneficial Thesemay include mobility and positioning, continuity ofcaregiver, touch, the prevention of ketone formation(eating and drinking) and reducing adrenaline in theearlyfirst stage of ... crude,provocative, or in poor taste In the romance languages,notably French, Spanish, and Italian, the masculine isintroduced by‘le,’ ‘el,’ and ‘il,’ and the feminine by ‘la.’ In French, for instance, the

Ngày tải lên: 22/01/2020, 17:33

... There is wide geographicalvariation in births with a higherincidence in Scotland and Ireland 3 :1000), and a lower incidence inEngland (2 :1000), USA, Canada, Japanand Africa (< 1 :1000) There ... about safe and suitable settings for feeding, bathing, etc Carbamazepine, phenytoin, primidone and phenobarbital induce liver enzymes, reducing the effectiveness of standard dose combined oral ... abnormalityThe finding of some 'abnormality5 in pregnancy transforms what was previously an exciting and joyous event into an extremely worrying and distressing time This remains true even when

Ngày tải lên: 17/09/2020, 17:12

... 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