Threatened Miscarriage Ecab

Author : Suneeta Mittal
Publisher : Elsevier Health Sciences
Page : 159 pages
File Size : 45,7 Mb
Release : 2013-07-12
Category : Medical
ISBN : 9788131232330

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Threatened Miscarriage - ECAB by Suneeta Mittal Pdf

Even though it seems simple the ability of the mother’s body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal "semi-allograft", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited. In such a situation, a correct diagnosis and prompt evaluation is imperative to start immediate interventions and prevent the expulsion of the fetus. However it is equally important to rule out the other conditions that may mimic threatened miscarriage and avoid unnecessary interventions. This clinical update handbook attempts to address these and other issues associated with this potentially elusive condition. The first chapter serves to give a concise yet relevant overview about this topic. The various modes of presentation as well as the management protocol are elaborately covered in the second chapter. The chapter on Diagnostic Modalities explains how the risk factors and investigative findings can be used to predict and make an early diagnosis of the condition. It has also touched upon the other conditions that mimic threatened miscarriage and how those can be differentiated from it. The role of stress and how it affects the immunomodulation which is the basis of maternal tolerance of the fetus, is explored in detail in the fourth chapter. The last chapter highlights the complications associated with inappropriate treatment of the condition and explores the adverse effects and relative safety of the recommended treatment protocol. Most of the chapters also include several case reviews that illustrate the aspects covered and are enriched with the vast repertoire of personal experience of the eminent authors.

Author : Gita Ganguly Mukherjee
Publisher : Elsevier Health Sciences
Page : 193 pages
File Size : 53,9 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239391

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Critical Issues in Obstetrics and Gynecology - ECAB - E-Book by Gita Ganguly Mukherjee Pdf

Critical Issues in Obstetrics and Gynecology - ECAB - E-Book

Author : Prakash Trivedi
Publisher : Elsevier Health Sciences
Page : 150 pages
File Size : 43,8 Mb
Release : 2009-09-15
Category : Medical
ISBN : 9788131232262

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Critical Issues in Obstetrics - ECAB by Prakash Trivedi Pdf

Globally, pregnancy and childbirth are periods of high morbidity and mortality for women. The key to reducing the risks associated with pregnancy and childbirth is early recognition and provision of high quality care. The aims of critical care issues’ management are broad, the need to address the defects in conceiving followed by early recognition, prevention, and management of preterm births and threatened miscarriages along with studying the essential factors responsible for the same. Infertility has been ranked as one of the greatest sources of stress in a person’s life, comparable to a somatic disease such as cancer and ranked second to that involving the death of a family member or divorce. The role of stress and immunomodulation as a causative factor for infertility has been studied in greater details in recent times due to the changing lifestyles and a relevant discussion has been provided by the author with specific considerations in the Indian clinical settings. Endometriosis is the disease of the millennium, a sticky, perplexing and unconquerable pathology, which has remained an enigma. With increased awareness about endometriosis, improved methods of diagnosis like transvaginal sonography, liberal use of laparoscopy and more frequent evaluation of CA 125, the incidence of endometriosis is rising and thus, a clear understanding of the condition with application of the various advances in the recognition and also the new management protocols being followed, are the need of the day for the practitioners across the country. The polycystic ovary syndrome (PCOS), which features amenorrhea, hirsutism, and obesity, which was initially considered a reproductive and cosmetic concern of young women of reproductive age group, has more recently been recognized to have metabolic and cardiovascular associations that make it of major consequence for women of all age groups worldwide. Keeping in mind the requirements of the society, the practitioners need to update themselves on the current approach and the wide variety of choices now available. This book encompasses the rich experience of the specialists in India who are among the stalwarts in this field.

Author : Hema Divakar
Publisher : Elsevier Health Sciences
Page : 152 pages
File Size : 48,6 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239384

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Bleeding in Pregnancy - ECAB - E-Book by Hema Divakar Pdf

Bleeding in Pregnancy - ECAB - E-Book

Author : Shirish N Daftary
Publisher : Elsevier Health Sciences
Page : 160 pages
File Size : 51,7 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239377

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Reproductive Endocrinology - ECAB - E-Book by Shirish N Daftary Pdf

Reproductive Endocrinology - ECAB - E-Book

Author : Sanjay Gupte,Girija Wagh
Publisher : Elsevier Health Sciences
Page : 184 pages
File Size : 41,5 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239537

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ECAB Progesterone: The Multifaceted Molecule - E-Book by Sanjay Gupte,Girija Wagh Pdf

ECAB Progesterone: The Multifaceted Molecule - E-Book

Author : Madhuri Patil,Sheela V Mane
Publisher : Elsevier Health Sciences
Page : 120 pages
File Size : 44,9 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239612

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ECAB Luteal Phase Insufficiency - E-Book by Madhuri Patil,Sheela V Mane Pdf

ECAB Luteal Phase Insufficiency - E-Book

Author : Sujata Misra
Publisher : Elsevier Health Sciences
Page : 160 pages
File Size : 55,8 Mb
Release : 2012-07-26
Category : Medical
ISBN : 9788131232354

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Thyroid Dysfunction and Pregnancy - ECAB by Sujata Misra Pdf

It is an established fact that thyroid hormones play an important role in the metabolism of the body. Pregnancy is a state of significant hormonal as well as metabolic changes, and thyroid hormones have a significant impact on maternal metabolism and fetal development during pregnancy. The fetus relies on maternal thyroid hormone for the development of the CNS, especially in the early stages of gestation, and uncorrected maternal hypothyroidism in this period can leave the child with permanent life-long neurological deficits. From the maternal point of view, a thyroid dysfunction encountered during pregnancy may continue even after delivery as postpartum thyroiditis. Hence, any thyroid dysfunction, be it hypo- or hyperthyroidism, can have serious deleterious consequences if not detected promptly and managed properly. The established guidelines and newer trends for the treatment of thyroid dysfunction are discussed in this update. Thyroid hypofunction has also been known to affect the fertility of women in reproductive age group. With the increasing incidence of infertility and advent of methods to treat them, the early detection and adequate treatment of thyroid hypofunction becomes an unavoidable part of assisted reproductive techniques, in the present day scenario. Even subclinical thyroid disorders can affect the reproductive capacity of non-pregnant women and impact the fetomaternal wellbeing in those who conceive. However, not all cases of subclinical hypothyroidism warrant pharmacological treatment. The guidelines for treatment of subclinical hypothyroidism in the pregnant and non-pregnant states are discussed in detail in this clinical update. An important aspect of reproductive health is family planning, and one of the commonly used means to achieve it is hormonal contraceptives. The interaction of thyroid hormones with hormonal contraceptives and the means of testing thyroid dysfunction in an individual taking hormonal contraceptives have been elucidated in this update.

Author : Nicole Gonzalez Van Cleve
Publisher : Stanford University Press
Page : 269 pages
File Size : 47,8 Mb
Release : 2016-05-24
Category : Law
ISBN : 9780804799201

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Crook County by Nicole Gonzalez Van Cleve Pdf

Winner of the 2017 Eduardo Bonilla-Silva Outstanding Book Award, sponsored by the Society for the Study of Social Problems. Finalist for the C. Wright Mills Book Award, sponsored by the Society for the Study of Social Problems. Winner of the 2017 Oliver Cromwell Cox Book Award, sponsored by the American Sociological Association's Section on Racial and Ethnic Minorities. Winner of the 2017 Mary Douglas Prize for Best Book, sponsored by the American Sociological Association's Sociology of Culture Section. Honorable Mention in the 2017 Book Award from the American Sociological Association's Section on Race, Class, and Gender. NAACP Image Award Nominee for an Outstanding Literary Work from a debut author. Winner of the 2017 Prose Award for Excellence in Social Sciences and the 2017 Prose Category Award for Law and Legal Studies, sponsored by the Professional and Scholarly Publishing Division, Association of American Publishers. Silver Medal from the Independent Publisher Book Awards (Current Events/Social Issues category). Americans are slowly waking up to the dire effects of racial profiling, police brutality, and mass incarceration, especially in disadvantaged neighborhoods and communities of color. The criminal courts are the crucial gateway between police action on the street and the processing of primarily black and Latino defendants into jails and prisons. And yet the courts, often portrayed as sacred, impartial institutions, have remained shrouded in secrecy, with the majority of Americans kept in the dark about how they function internally. Crook County bursts open the courthouse doors and enters the hallways, courtrooms, judges' chambers, and attorneys' offices to reveal a world of punishment determined by race, not offense. Nicole Gonzalez Van Cleve spent ten years working in and investigating the largest criminal courthouse in the country, Chicago–Cook County, and based on over 1,000 hours of observation, she takes readers inside our so-called halls of justice to witness the types of everyday racial abuses that fester within the courts, often in plain sight. We watch white courtroom professionals classify and deliberate on the fates of mostly black and Latino defendants while racial abuse and due process violations are encouraged and even seen as justified. Judges fall asleep on the bench. Prosecutors hang out like frat boys in the judges' chambers while the fates of defendants hang in the balance. Public defenders make choices about which defendants they will try to "save" and which they will sacrifice. Sheriff's officers cruelly mock and abuse defendants' family members. Delve deeper into Crook County with related media and instructor resources at www.sup.org/crookcountyresources. Crook County's powerful and at times devastating narratives reveal startling truths about a legal culture steeped in racial abuse. Defendants find themselves thrust into a pernicious legal world where courtroom actors live and breathe racism while simultaneously committing themselves to a colorblind ideal. Gonzalez Van Cleve urges all citizens to take a closer look at the way we do justice in America and to hold our arbiters of justice accountable to the highest standards of equality.

Author : O P Yadava
Publisher : Elsevier Health Sciences
Page : 318 pages
File Size : 51,9 Mb
Release : 2013-04-26
Category : Medical
ISBN : 9788131231807

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Deep Vein Thrombosis - ECAB by O P Yadava Pdf

Venous thromboembolism is a common and potentially lethal disease. Patients who have pulmonary embolism are at especially high risk for death. Sudden death is often the first clinical manifestation. Only a reduction in the incidence of venous thromboembolism can reduce sudden death owing to pulmonary embolism and venous stasis syndrome owing to deep vein thrombosis. Improvement in the incidence of venous thromboembolism will require (i) better recognition of persons at risk, (ii) improved estimates of the magnitude of risk, (iii)avoidance of risk exposure when possible, (iv)more widespread use of safe and effective prophylaxis when risk is unavoidable, and (v) targeting of prophylaxis to those persons who will benefit most. Early and timely diagnosis and management of deep vein thrombosis and pulmonary embolism considerably reduces the subsequent morbidity and mortality.

Author : Urvashi P Jha
Publisher : Elsevier Health Sciences
Page : 90 pages
File Size : 54,8 Mb
Release : 2009-12-15
Category : Medical
ISBN : 9788131232286

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Endoscopy in Infertility - ECAB by Urvashi P Jha Pdf

Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy has become an essential part of gynecologic surgery. In present practice, the benefits of hysteroscopy have become safely entrenched behind undeniable facts, to the hospitals as well as the patients. Hysteroscopy can be regarded as the gold standard for the evaluation of the uterine cavity in cases of abnormal uterine bleeding, infertility, recurrent pregnancy loss, and suspected intrauterine out-growth. It can be performed in the office setting (outpatient hysteroscopy) or as a day-case procedure, under general anesthesia (inpatient hysteroscopy). Outpatient hysteroscopy has been shown to be as accurate as inpatient hysteroscopy, and it has the advantage of reduced anesthetic risks, enhanced time–cost effectiveness, and patient preference. The factors behind the success of outpatient hysteroscopy are instrument quality, characteristics of the distension medium, the ability and experience of the operators, and recent technical advances, such as the introduction of small-diameter rigid and flexible hysteroscopes. The future looks to further simplification of instrumentation and hence, high safety and accuracy and expedited performance. "Hysteroscopy in Infertility" has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of authors, who are among the pioneers in this field.

Author : Gwendolen Margaret Carter,Thomas Karis
Publisher : Unknown
Page : 848 pages
File Size : 51,8 Mb
Release : 1977
Category : Political Science
ISBN : UOM:39015008367198

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South African Political Materials by Gwendolen Margaret Carter,Thomas Karis Pdf

Author : Dale W. Tomich
Publisher : Rowman & Littlefield
Page : 234 pages
File Size : 54,5 Mb
Release : 2004
Category : Business & Economics
ISBN : 0742529398

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Through the Prism of Slavery by Dale W. Tomich Pdf

In this thoughtful book, Dale W. Tomich explores the contested relationship between slavery and capitalism. Tracing slavery's integral role in the formation of a capitalist world economy, he reinterprets the development of the world economy through the "prism of slavery." Through a sustained critique of Marxism, world-systems theory, and new economic history, Tomich develops an original conceptual framework for answering theoretical and historical questions about the nexus between slavery and the world economy. The author explores how particular slave systems were affected by their integration into the world market, the international division of labor, and the interstate system. He further examines the ways that the particular "local" histories of such slave regimes illuminate processes of world economic change. His deft use of specific New World examples of slave production as local sites of global transformation highlights the influence of specific geographies and local agency in shaping different slave zones. Tomich's cogent analysis of the struggles over the organization of work and labor discipline in the French West Indian colony of Martinique vividly illustrates the ways that day-to-day resistance altered the relationship between master and slave, precipitated crises in sugar cultivation, and created the local conditions for the transition to a post-slavery economy and society.

Author : Hema Divakar
Publisher : Elsevier Health Sciences
Page : 194 pages
File Size : 40,7 Mb
Release : 2009-11-15
Category : Medical
ISBN : 9788131232279

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Medical Disorders in Pregnancy - ECAB by Hema Divakar Pdf

The management of medical disorders in pregnancy has undergone significant changes in the recent years. The pattern of disease has changed with improvements in socio-economic conditions. For example, the incidence of antenatal anemia has decreased progressively in the past few decades, and pulmonary tuberculosis (which used to be prevalent) is now seen only rarely. Chronic rheumatic heart disease has also become less common. On the other hand, gestational diabetes has become more common. This may be due partly to the setting up of screening services for gestational diabetes in many hospitals. The four most common medical disorders complicating pregnancy are anemia, diabetes mellitus, cardiac disease, and thyroid disorders. In addition, because of the improvements in the medical, obstetric, and anesthetic management of pregnancy, many women with medical disorders can go through a pregnancy without major problems. There has also been a progressive decrease in the perinatal mortality associated with some medical disorders, such as diabetes. It is important for all healthcare professionals involved in the management of pregnant women with medical disorders to be conversant with the latest developments in order to provide the best care to these women. The chapters in this issue are certainly helpful in this respect. The eminent authors for the various chapters have discussed the various options available describing in detail their experiences regarding the various aspects of the condition.

Author : Narendra Malhotra,PK Shah,Hema Divakar
Publisher : Jaypee Brothers,Medical Publishers Pvt. Limited
Page : 1410 pages
File Size : 48,5 Mb
Release : 2014-04-30
Category : Medical
ISBN : 935152163X

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Principles and Practice of Obstetrics & Gynecology for Postgraduates by Narendra Malhotra,PK Shah,Hema Divakar Pdf