...Case Study Analysis: Uterine Fibroids Victoria Moss COMM/215 5/14/12 David Mumford Case Study Analysis: Uterine Fibroids Uterine fibroids develops in the muscular wall in the uterus are not malignant tumors or growth. Fibroids are found in women and are a type of growth not cancer. It is common in women who are between the ages of 25-45. Uterine fibroids are also called leionyomas or myomas. Fibroids do not cause problems when they remain small. They can grow inside and outside the uterus. Once the fibroids grow larger in size they can cause complications. Sometimes fibroids have grown large enough to fill the whole abdomen. In African American women uterine fibroids exist more than in White women. Researching upon uterine fibroids it is not understood the causes and fibroids grow quicker in African American women. The female hormones estrogen and progesterone can increase or decrease throughout women's life. When a woman goes through menopause it decreases estrogen. When going through menopause fibroids tend to shrink. Birth control pills can cause fibroids to grow because it is a hormonal drug that contains estrogen. Fibroids may cause some of these symptoms like changes in menstruation, heavy periods, and cramps. Vaginal bleeding other than menstrual cycle can cause anemia. Causes pain in the abdomen or lower back. It may inquire pain while acquiring sex or pressure when urinating. The uterus is enlarged, miscarriages, and infertility are other symptoms. When...
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...Article ID 173184, 11 pages http://dx.doi.org/10.1155/2013/173184 Review Article Uterine Fibroids: Pathogenesis and Interactions with Endometrium and Endomyometrial Junction Andrea Ciavattini,1 Jacopo Di Giuseppe,1 Piergiorgio Stortoni,1 Nina Montik,1 Stefano R. Giannubilo,1 Pietro Litta,2 Md. Soriful Islam,3 Andrea L. Tranquilli,1 Fernando M. Reis,4 and Pasquapina Ciarmela3 1 Woman’s Health Sciences Department, Faculty of Medicine, Polytechnic University of Marche, Via Corridoni 11, 60123 Ancona, Italy Department of Gynaecological Sciences and Human Reproduction, University of Padova, Via Giustiniani 3, 35128 Padova, Italy 3 Department of Experimental and Clinical Medicine, Faculty of Medicine, Polytechnic University of Marche, Via Tronto 10/a, 60126 Ancona, Italy 4 Department of Obstetrics and Gynecology, Federal University of Minas Gerais and National Institute of Hormones and Women’s Health, 30130-100 Belo Horizonte, MG, Brazil 2 Correspondence should be addressed to Andrea Ciavattini; ciavattini.a@libero.it Received 28 February 2013; Revised 10 June 2013; Accepted 13 August 2013 Academic Editor: Hilary Critchley Copyright © 2013 Andrea Ciavattini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Uterine leiomyomas (fibroids or myomas) are benign tumors of uterus and clinically apparent in a large part of...
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...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
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...substance that creates the same bodily responses but does not bind to the same receptor. Bisphenol A (BPA) is an industrial compound and a well-known endocrine-disrupting chemical with estrogenic activity. The widespread exposure of individuals to BPA is suspected to affect a variety of physiological functions, including reproduction, development, and metabolism. Many known obesogens are Endocrine disrupting chemicals (EDCs) that can act as direct ligands for nuclear hormone receptors, or affect components in metabolic signaling pathways under hormonal control. Environmental chemicals such as tributyltin (TBT) and triphenyltin (TPT) are known to stimulate adipogenesis in vitro and in vivo. Hence these agonists can trigger obesity. Uterine fibroids (leiomyomas) are the most common tumor of the female...
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...Laser application in obstetrics and gynecology Abstract : For thelast20years,laser technology has evolved as an important tool in surgical treatment and It is widely used in gynecologyandobstetrics.Especiallyinthetreatmentofvulvarandbenignandpremalignantcervicaldysplasiasitcan be consideredasthegoldstandard.Inprenatalmedicine,lasercoagulationofplacentavesselshasbeenshowntobe superiortoanyotherintrauterinetherapyoftwin-to-twintransfusionsyndromeinmonochorionictwinpregnancies. However, not all expectations in laser technology have been fulfilled. In laparoscopy, for instance, the use of the laser has been abandoned in favor of high-frequency electric surgery. This manuscript gives a short introduction to current therapeutic applications and limits of laser technology in gynecology and obstetrics.: Introduction While the history of laser began in1951,the first medical application in dermatology was reported by Goldmanin1962 . Since then, laser technology has evolved as an important tool in surgical treatment and it is widely used in gynecology and obstetrics. Especially in the treatment of benign and premalignant vulvar and cervical dysplasias the standard treatment involves the application of laser energy . In prenatal medicine, laser coagulation of placenta vessels has shown to be superior to any other intrauter in etherapy of twin- to-twin transfusion syndrome(TTTS) in monochorionic twin pregnancies . However ,not all expectations in laser technology have...
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...Hence, the analysis of infertility can be a mug on relationship, self-image, and sexuality. The occurrence of infertility has been noted to be greatly variable worldwide. In contrast, constantly an average rate of 10-15% has been quoted in developed countries [4, 6, and 7]. The incidence of infertility in Pakistan is quarterly noticed; in which majority suffer from secondary infertility as compared to primary infertility. [2, 3] Infertility can be classified as primary when...
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...Benefits of Immunotherapy from advances in immunology and recombinant DNA technology. Immunotherapy is a form of medical treatment intended to stimulate or restore the ability of the immune system to fight infection and disease. This can be by inducing, enhancing, or suppressing an immune response. Immunotherapies designed to elicit or amplify an immune response are classified as activation immunotherapies, while those that reduce or suppress immune response are suppression immunotherapies. Active immunotherapy has been effective against agents that normally cause acute self-limiting infectious disease. However, a more effective immunotherapy for chronic infectious diseases or cancer requires the use of appropriate target antigens; the optimization of the interaction between the antigenic peptide, the antigen-presenting cells (APC) and the T cell; and the simultaneous blockage of the negative regulatory mechanisms that impede immunotherapeutic effect. Furthermore, passive immunotherapy using monoclonal antibodies and receptor FC-fusion proteins has come of age and has shown great clinical success. Several monoclonal antibodies, including unmodified antibodies and antibodies armed with toxins or radionuclides, have been approved to prevent allograft rejection or to treat autoimmune diseases and cancer. Several others are in clinical trials. Preventive vaccines have been successful against infectious agents such as viruses, which cause self-limiting diseases that are normally...
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...Table of Contents Introduction 2 Assumptions 3 Data Availability 3 Overnight processing window 3 Business sponsor 4 Source system knowledge 4 Significance 5 Data warehouse 6 ETL: (Extract, Transform, Load) 6 Data Mining 6 Data Mining Techniques 7 Data Warehousing 8 Data Mining 8 Technology in Health Care 9 Diseases Analysis 9 Treatment strategies 9 Healthcare Resource Management 10 Customer Relationship Management 10 Recommended Solution 11 Corporate Solution 11 Technological Solution 11 Justification and Conclusion 12 References 14 Health Authority Data (Appendix A) 16 Data Warehousing Implementation (Appendix B) 19 Data Mining Implementation (Appendix B) 22 Technological Scenarios in Health Authorities (Appendix C) 26 Technology Tools 27 Data Management Technology Introduction The amount of information offered to us is literally astonishing, and the worthiness of data as an organizational asset is widely acknowledged. Nonetheless the failure to manage this enormous amount of data, and to swiftly acquire the information that is relevant to any particular question, as the volume of information rises, demonstrates to be a distraction and a liability, rather than an asset. This paradox energies the need for increasingly powerful and flexible data management systems. To achieve efficiency and a great level of productivity out of large and complex datasets, operators need have tools that streamline the tasks of managing...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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...prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old in skeletal traction for 2 weeks since a motor cycle accident 72 year-old recovering from surgery after a hip replacement 2 hours ago 75 year-old who is in skin traction prior to planned hip pinning surgery. C: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and...
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...A CASE STUDY TO UNDERSTAND THE FACTORS THAT PROMOTE AND FACILITATE MEDICAL TOURISM IN THAILAND WITH REGARD TO SERVICES PROVIDED BY HOSPITALS A CASE STUDY TO UNDERSTAND THE FACTORS THAT PROMOTE AND FACILITATE MEDICAL TOURISM IN THAILAND WITH REGARD TO SERVICES PROVIDED BY HOSPITALS Tejasvi Vasudevan An Independent Study Presented to The Graduate School of Bangkok University In Partial Fulfillment of the Requirements for the Degree Master of Business Administration 2014 2014 Tejasvi Vasudevan All Rights Reserved This Independent Study has been approved by The Graduate School Bangkok University Title: A case study to understand the factors that promote and facilitate medical tourism in Thailand with regards to services provided by hospitals Author: Ms. Tejasvi Vasudevan Independent Study Committees: Advisor Dr. Sriwan Thapanya ………………………………………………………………………… Field Specialist …………………………………………………………………………… (Asst. Prof. Dr. Sivaporn Wangpipatwong) Dean of the Graduate School Tejasvi Vasudevan. Master of Business Administration, May 2014, Graduates School, Bangkok University Title: A case study to understand the factors that promote and facilitate medical tourism in Thailand with regards to services provided by hospitals (72 pages) Advisor of Independent Study: Dr. Sriwan Thapanya ABSTRACT The aim of this study is to understand reasons behind the growing medical tourism industry in...
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...Employment News 31 May - 6 June 2014 www.employmentnews.gov.in 21 UNION PUBLIC SERVICE COMMISSION EXAMINATION NOTICE NO. 09/2014-CSP (LAST DATE FOR RECEIPT OF APPLICATIONS : 30/06/2014) DATE :31.05.2014 CIVIL SERVICES EXAMINATION, 2014 (Commission’s website-http://upsc.gov.in) F. No. 1/5/2013-E.I(B) : Preliminary Examination of the Civil Services Examination for recruitment to the Services and Posts mentioned below will be held by the Union Public Service Commission on 24th Aug., 2014 in accordance with the Rules published by the Department of Personnel & Training in the Gazette of India Extraordinary dated 31st May, 2014. (i) Indian Administrative Service. (ii) Indian Foreign Service. (iii) Indian Police Service. (iv) Indian P & T Accounts & Finance Service, Group ‘A’. (v) Indian Audit and Accounts Service, Group ‘A’. (vi) Indian Revenue Service (Customs and Central Excise), Group ‘A’. (vii) Indian Defence Accounts Service, Group ‘A’. (viii) Indian Revenue Service (I.T.), Group ‘A’. (ix) Indian Ordnance Factories Service, Group ‘A’ (Assistant Works Manager, Administration). (x) Indian Postal Service, Group ‘A’. (xi) Indian Civil Accounts Service, Group ‘A’. (xii) Indian Railway Traffic Service, Group ‘A’. (xiii) Indian Railway Accounts Service, Group 'A'. (xiv) Indian Railway Personnel Service, Group ‘A’. (xv) Post of Assistant Security Commissioner in Railway Protection Force, Group ‘A’ (xvi) Indian Defence Estates Service, Group...
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...Employment News 11 - 17 February 2012 www.employmentnews.gov.in 21 Union Public Service Commission EXAMINATION NOTICE NO. 04/2012-CSP DATED 11.02.2012 (LAST DATE FOR RECEIPT OF APPLICATIONS : 05.03.2012) CIVIL SERVICES EXAMINATION, 2012 (Commission's website - http://www.upsc.gov.in) F. No. 1/4/2011-E.I(B) : Preliminary Examination of the Civil Services Examination for recruitment to the Services and Posts mentioned below will be held by the Union Public Service Commission on 20th May, 2012 in accordance with the Rules published by the Department of Personnel & Training in the Gazette of India Extraordinary dated 4th February, 2012. (i) Indian Administrative Service. (ii) Indian Foreign Service. (iii) Indian Police Service. (iv) Indian P & T Accounts & Finance Service, Group ‘A’. (v) Indian Audit and Accounts Service, Group ‘A’. (vi) Indian Revenue Service (Customs and Central Excise), Group ‘A’. (vii) Indian Defence Accounts Service, Group ‘A’. (viii) Indian Revenue Service (I.T.), Group ‘A’. (ix) Indian Ordnance Factories Service, Group ‘A’ (Assistant Works Manager, Administration). (x) Indian Postal Service, Group ‘A’. (xi) Indian Civil Accounts Service, Group ‘A’. (xii) Indian Railway Traffic Service, Group ‘A’. (xiii) Indian Railway Accounts Service, Group 'A'. (xiv) Indian Railway Personnel Service, Group ‘A’. (xv) Post of Assistant Security Commissioner in Railway Protection Force, Group ‘A’ (xvi) Indian Defence Estates Service, Group ‘A’. (xvii) Indian Information...
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...The DO s Dr. Andrew Taylor Still, 1828 –1917 THE DOS OSTEOPATHIC MEDICINE IN AMERICA Second Edition NORMAN GEVITZ The Johns Hopkins University Press Baltimore & London © 1982, 2004 The Johns Hopkins University Press All rights reserved. Published 2004 Printed in the United States of America on acid-free paper 246897531 The Johns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218-4363 www.press.jhu.edu Library of Congress Cataloging-in-Publication Data Gevitz, Norman. The DOs : osteopathic medicine in America / Norman Gevitz.–2nd ed. p. ; cm. Rev ed. of: The D.O.’s. c1982 Includes bibliographical references and index. ISBN 0-8018-7833-0 (alk. paper) — ISBN 0-8018-7834-9 (pbk. : alk. paper) 1. Osteopathic medicine—United States—History. [DNLM: 1. Osteopathic Medicine—history—United States. WB 940 G396d 2004] I. Gevitz, Norman. D.O.’s. II. Title. RZ325.U6G48 2004 615.5′33′0973—dc21 2003012874 A catalog record for this book is available from the British Library. Frontispiece courtesy of the Still National Osteopathic Museum, Kirksville, Missouri. For Kathryn Gevitz This page intentionally left blank CONTENTS Preface & Acknowledgments ix Chapter 1 Andrew Taylor Still THE MISSOURI MECCA IN THE FIELD 39 1 22 Chapter 2 Chapter 3 Chapter 4 STRUCTURE & FUNCTION EXPANDING THE SCOPE 54 69 85 Chapter 5 Chapter 6 THE PUSH FOR HIGHER STANDARDS A QUESTION OF IDENTITY The California Merger 101 115...
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