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Melatonin Effects on Luteinizing Hormone in Postmenopausal Women: A Pilot Clinical Trial NCT00288262In many mammals, the duration of the nocturnal melatonin elevation regulates seasonal changes in reproductive hormones such as luteinizing hormone (LH). Melatonin's effects on human reproductive endocrinology are uncertain.
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The importance of Visual Port Insertion During LaparoscopyPatient safety is finally being institutionalized due to growing concern over the terrible cost of inadvertent human error. Medicine's punitive perfectibility model in dealing with unintended injury is slowly evolving to accept error during surgery, as an inevitable yet manageable reality of operations (Leap, 1994).
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Thrombomodulin and Antithrombin-III as Evidence for Varied Activation of the Coagulation CascadePre-eclampsia first described more than hundred years ago, remains a leading cause of maternal and fetal morbidity and mortality. Despite extensive researches, our knowledge of the aetiology and pathophysiology is still limited (Chappel & Bewley, 1998).
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Role of Microlaparascopy in Conscious Pain MappingMicrolaparoscopy is a useful tool in diagnosing various causes of pelvic pain. In this tutorial, get the basics on conscious pain mapping in gynecological surgery.
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Non-immune Hydrops FetalisGeneralized skin thickening of more than 5mm and / or two or more of the following • Pericardial Effusion • Pleural Effusion • Ascites • Placental Enlargement
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The Use of Video Colposcopy in Sexual Assault ExaminationsOver the past decade and a half there has been a standardization in the use of the colposcope for photo documentation in the evaluation of child sexual abuse cases. The use of colposcopy has become the standard of care for pre-adolescent children, and medical professionals recognize the added specific benefits of video colposcopy for the evaluation of adolescent and adult sexual assault victims.
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Oral Contraceptives: Risks, Benefits & New RegimesORAL CONTRACEPTIVES: . Objectives . Know the risks, benefits and side effects of oral contraceptives . Utilize basic concepts in OC prescribing . Know how to modify regiments to manage side effects .Objectives .Know the risks, benefits and side effects of oral contraceptives .Utilize basic concepts in OC prescribing .Know how to modify regiments to manage side effects
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Gestational Hypertension: Implications for Pre-eclampsia and EclampsiaExperts discuss potential complications of gestational hypertension, as well as the role of home blood-pressure (BP) monitoring as an adjunct in managing these cases.
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Signs, Symptoms and Screening for Ovarian CancerNew research shows that symptoms exist in even early-stage ovarian cancer, disproving the myth that it's a "silent killer." Barbara Goff, MD, presents the latest in symptom research, tips on what physicians should be looking for, and what's on the horizon for ovarian cancer screening.
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Barbara's Reflections My Journey Living With Breast CancerThis month is National Breast Cancer Awareness Month and so I feel it's an appropriate time to Reflect on my last eighteen months going down that road. I will try not to make this a sad trip but instead a hopeful one for all of us either with the disease or with loved one's going through this journey.
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Fertility Care and Severe Polycystic Ovarian Syndrome (PCOS)In women with severe clomiphene-resistant PCOS, we proposed thatthe insulin-lowering agent troglitazone (Rezulin®) could have a positive impact on the ovarian microenvironment by supporting normal follicular growth, ovulation, and successful pregnancy.
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The Impact of Urinary Incontinence on Self-efficacy and Quality of LifeUrinary incontinence impacts 15 to 35% of the adult ambulatory population. Men after the removal of the prostate for cancer can experience incontinence for several weeks to years after the surgery.
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An Obstetrician Becomes a Mommy: The Story of Hunter's BirthI write this with my daughter, Hunter, sleeping peacefully on my lap. As I look down on her, I am filled with a sense of awe, and of gratitude, for her journey to us was long. Here is her story......
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PCOS: Where are we today?OBGYN.net Conference Coveragefrom the 19th Annual Meeting of ESHRE - Madrid, Spain
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PCOS: Where are we today?OBGYN.net Conference Coveragefrom the 19th Annual Meeting of ESHRE - Madrid, Spain
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Should We Test More Drugs on Pregnant Women?With 64% of pregnant women in the U.S. taking at least one medication during pregnancy, experts are arguing that it’s unethical not to include them in the testing of new drugs.
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The Belle Browne Pain Scale0) No Pain1) Slight Pain, slight ache, pain comes and goes very mild. Able to perform all tasks normally and pain is easily forgotten while attending to something else. No pain medications required.2) Slight pain which lasts a bit longer, still able to perform usual tasks and again, if concentration is shifted away from the pain, the pain is forgotten about. No pain medications required.3) Pain is more noticeable and it comes and goes more frequently. Still able to perform usual tasks but it takes a bit of effort. Mild analgesic usually will help with this type of pain.4) The pain lasts for longer periods, it is much more noticeable and it is starting to bother and interfere with concentration and tasks requiring more effort and concentration. Mild analgesia should alleviate this type of pain, maybe more doses than one single dose may be required. A hot pack or ice pack may also help alleviate the pain.5) The Pain is now very noticeable, it is interfering with everyday tasks and a pain reliever is now required at 4 to 6 hourly intervals. Depending on the patient, someone with acute pain, may still respond well to mild analgesia probably at 4th hourly, maybe with added codeine (if the patient is able to take it) and even heat or ice may help with some relief of this level of pain.6) The Pain level is medium heading towards strong now and it is becoming more constant and it is not easily forgotten about. Pain relief is now required and it may need to be stronger than just mild analgesia, added codeine may help with the level of pain relief, this all depends on whether the pain is acute or chronic and on the patient's actual level of pain tolerance. A chronic pain patient may still have this level of pain even with strong pain relief.7) The pain level is now medium to strong and the pain is continuous. It is not relieved by mild to medium analgesia. Stronger narcotics are now required for pain relief. Chronic pain patients may still be at this level, even with strong narcotic pain relief. Heat may also aid with relief. Its becoming harder to concentrate due to the strength of the pain.8) The pain is becoming unbearable, strong narcotic pain relief is required. The chronic and acute pain patient will be irritable, hot and may be flushed, perspiration may be noticeable. Blood pressure may also be elevated. Patient may start to shake a bit if the pain has been going on for too long.9) The pain now is unbearable, only strong narcotic pain relief for the acute patient will help with the pain. The chronic pain patient will be irritable, the patient may be flushed and their palms are usually sweaty, blood pressure usually raised, pain relief needs to be increased and re-assessed. Nausea or vomiting may be present. The patient may be trembling or shaking due to the amount of pain, moaning and groaning may be present. Whether the pain is acute or chronic, the patient is usually unable to sleep or concentrate on the smallest task.10) The pain level is totally unbearable, the patient maybe vomiting or can even lose consciousness. The patient may also become delirious, moaning and groaning without making any sense. The blood pressure may still be elevated or by now may have dropped and the patient may go into shock. The patient must be treated by his/her symptoms, if cold, then the patient should be kept warm and if hot they should be cooled down. Pain relief is needed urgently. The patient may even become incontinent.
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"Madame, You're going to undergo a hysterectomy"A hysterectomy is the surgical removal of the uterus. One talks of total hysterectomy, if the entire uterus is removed (cervix and corpus) and of subtotal if the cervix is kept in place. During this intervention the ovaries may be removed too.
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FIRST and FASTER Trials for Genetic Markers in First TrimesterOBGYN.net Conference CoverageFrom AIUM 44th Conference held in San Francisco, California - April, 2000
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Prenatal TestingOBGYN.net Conference CoverageINTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY:Zagreb, Croatia
