Infertility, dysmenorrhoea, uterine fibroids, polycystic ovarian syndrome, and endometriosis are common gynecological conditions that can cause problems like painful periods and difficulty getting pregnant. They involve hormonal imbalances, cysts or growths in the ovaries or uterus, and tissue growing outside of the uterus. Treatments include lifestyle changes, medications, and sometimes surgery. Long-term follow-up with a doctor is important for managing the conditions and their symptoms.
Primary and secondary amenorrhea and dysmenorrhea are common gynecological disorders that are diagnosed through a medical history, physical exam, and lab tests. Treatment depends on the underlying cause but may include medications, surgery, or lifestyle changes. Routine screening is generally not recommended unless symptoms are present.
A Retrospective Study on Evaluation of Patients with Uterine Fibroid in a Ter...ijtsrd
Uterine fibroids are a major cause of morbidity in women of reproductive age. Hence it is important to evaluate the occurrence of fibroid. An observational retrospective study was carried out in Obstetric and Gynecology Department over a period of 2 months. Each of the cases was scrutinized for sociodemographic, clinical profile and other necessary information. In this study, Fibroid was found to be predominant in premenopausal women. .Parity and number of abortions had no much significance with fibroid diagnosed. The primary management of obese patients were found as weight reduction and diet control. Hysterectomy was done based on large fibroid size. Anju Mam Thomas | Blessy Rachal Boban | Jiya Ann Mathew "A Retrospective Study on Evaluation of Patients with Uterine Fibroid in a Tertiary Care Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-2 , February 2019, URL: https://www.ijtsrd.com/papers/ijtsrd20311.pdf
Paper URL: https://www.ijtsrd.com/pharmacy/pharmacy-practice/20311/a-retrospective-study-on-evaluation-of-patients-with-uterine-fibroid-in-a-tertiary-care-hospital/anju-mam-thomas
This document discusses the treatment of endometriosis using an integrated approach of Traditional Chinese Medicine (TCM) and Western Medicine (WM). It begins by providing background on endometriosis, including definitions, prevalence, causes, risk factors, clinical manifestations, diagnosis, and WM treatment options such as medical therapies and surgery. The document then states that TCM is an effective natural treatment for endometriosis while WM can surgically remove ectopic tissues, but integrating TCM and WM can greatly benefit treatment.
Primary amenorrhea is diagnosed by performing labs to evaluate hormone levels and imaging tests to identify anatomical abnormalities. Secondary amenorrhea is also diagnosed through hormone level evaluation to discover the underlying cause such as a hypothalamic disorder. Treatment depends on the cause but may include birth control, hormone therapy, or surgery. Dysmenorrhea is diagnosed through a medical history and physical exam. Treatment includes over-the-counter medications and oral contraceptives.
This document discusses the management of infertility in women with endometriosis. It covers topics such as the relationship between endometriosis and infertility, guidelines for treatment, the pathophysiology of endometriosis-related infertility, diagnosing endometriosis, medical and surgical treatment options, assisted reproduction techniques for endometriosis patients, and specific considerations for deep endometriosis, endometriomas, and unexplained infertility. Treatment aims to relieve symptoms, remove or destroy endometrial lesions, and potentially improve fertility outcomes through methods like laparoscopic surgery, hormonal therapies, IUI, and IVF. However, the evidence on most effective approaches is still limited.
This document summarizes a review article on polycystic ovary syndrome (PCOS). PCOS is a common endocrine and metabolic disorder in premenopausal women, affecting 8-13% of reproductive-aged women. It is characterized by a combination of signs including androgen excess and ovarian dysfunction. Lifestyle management including diet and exercise is emphasized as the cornerstone of PCOS treatment by international guidelines. The review discusses the pathophysiology, symptoms, characterization and management of PCOS.
In this presentation, I talk about a brief description of menopause, hormonal changes during menopause, symptoms, and how HRT can be helpful during menopause. The advantages, risk factors and its methods of function are also included in this presentation.
Primary and secondary amenorrhea and dysmenorrhea are common gynecological disorders that are diagnosed through a medical history, physical exam, and lab tests. Treatment depends on the underlying cause but may include medications, surgery, or lifestyle changes. Routine screening is generally not recommended unless symptoms are present.
A Retrospective Study on Evaluation of Patients with Uterine Fibroid in a Ter...ijtsrd
Uterine fibroids are a major cause of morbidity in women of reproductive age. Hence it is important to evaluate the occurrence of fibroid. An observational retrospective study was carried out in Obstetric and Gynecology Department over a period of 2 months. Each of the cases was scrutinized for sociodemographic, clinical profile and other necessary information. In this study, Fibroid was found to be predominant in premenopausal women. .Parity and number of abortions had no much significance with fibroid diagnosed. The primary management of obese patients were found as weight reduction and diet control. Hysterectomy was done based on large fibroid size. Anju Mam Thomas | Blessy Rachal Boban | Jiya Ann Mathew "A Retrospective Study on Evaluation of Patients with Uterine Fibroid in a Tertiary Care Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-2 , February 2019, URL: https://www.ijtsrd.com/papers/ijtsrd20311.pdf
Paper URL: https://www.ijtsrd.com/pharmacy/pharmacy-practice/20311/a-retrospective-study-on-evaluation-of-patients-with-uterine-fibroid-in-a-tertiary-care-hospital/anju-mam-thomas
This document discusses the treatment of endometriosis using an integrated approach of Traditional Chinese Medicine (TCM) and Western Medicine (WM). It begins by providing background on endometriosis, including definitions, prevalence, causes, risk factors, clinical manifestations, diagnosis, and WM treatment options such as medical therapies and surgery. The document then states that TCM is an effective natural treatment for endometriosis while WM can surgically remove ectopic tissues, but integrating TCM and WM can greatly benefit treatment.
Primary amenorrhea is diagnosed by performing labs to evaluate hormone levels and imaging tests to identify anatomical abnormalities. Secondary amenorrhea is also diagnosed through hormone level evaluation to discover the underlying cause such as a hypothalamic disorder. Treatment depends on the cause but may include birth control, hormone therapy, or surgery. Dysmenorrhea is diagnosed through a medical history and physical exam. Treatment includes over-the-counter medications and oral contraceptives.
This document discusses the management of infertility in women with endometriosis. It covers topics such as the relationship between endometriosis and infertility, guidelines for treatment, the pathophysiology of endometriosis-related infertility, diagnosing endometriosis, medical and surgical treatment options, assisted reproduction techniques for endometriosis patients, and specific considerations for deep endometriosis, endometriomas, and unexplained infertility. Treatment aims to relieve symptoms, remove or destroy endometrial lesions, and potentially improve fertility outcomes through methods like laparoscopic surgery, hormonal therapies, IUI, and IVF. However, the evidence on most effective approaches is still limited.
This document summarizes a review article on polycystic ovary syndrome (PCOS). PCOS is a common endocrine and metabolic disorder in premenopausal women, affecting 8-13% of reproductive-aged women. It is characterized by a combination of signs including androgen excess and ovarian dysfunction. Lifestyle management including diet and exercise is emphasized as the cornerstone of PCOS treatment by international guidelines. The review discusses the pathophysiology, symptoms, characterization and management of PCOS.
In this presentation, I talk about a brief description of menopause, hormonal changes during menopause, symptoms, and how HRT can be helpful during menopause. The advantages, risk factors and its methods of function are also included in this presentation.
Gynecological symptoms and management assignment.docxsdfghj21
The document discusses a case study of a 48-year-old woman presenting with prolonged menstrual bleeding lasting 3 weeks and irregular periods for the past 8 months. The primary diagnosis is likely perimenopause, characterized by symptoms like hot flashes, mood changes, heavy bleeding, and missed cycles. Differential diagnoses include polycystic ovarian syndrome, endometrial hyperplasia, and hypothyroidism. Treatment options for perimenopause discussed are low-dose oral contraceptives, hormone replacement therapy, vitamin supplements, and lifestyle changes like yoga and diet. Educating patients on common perimenopause symptoms and management strategies is important.
Georgine Lamvu, MD, MPH prepared useful Practice Aids pertaining to the diagnosis and management of endometriosis and uterine fibroids for this CME activity titled "Current and Emerging Therapies for Endometriosis and Uterine Fibroids: What Do You Need to Know?" For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at https://bit.ly/3cH0J2A. CME credit will be available until August 2, 2021.
Probable Consequences of Menopause on body tissues and systemsiosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice.The journal publishes original papers, reviews, special and general articles, case management etc.
This document discusses several gynecological conditions including dysmenorrhoea (painful periods), premenstrual syndrome (PMS), amenorrhoea (absence of periods), polycystic ovarian syndrome (PCOS), and post-menopausal bleeding. It provides details on the definitions, causes, diagnostic approaches and treatment options for each condition. Key points include that dysmenorrhoea affects 45-95% of women and can be caused by endometriosis or adenomyosis; PMS involves physical and emotional symptoms before a woman's period; amenorrhoea can be primary or secondary; PCOS involves irregular periods, excess androgen levels and polycystic ovaries; and post
This document discusses new frontiers in the management of endometriosis. It provides background on the history and diagnosis of endometriosis. Pain and infertility are identified as the main clinical features. Diagnosis involves ultrasound, MRI, laparoscopy and the Endometriosis Fertility Index staging system. Current medical treatment options discussed include NSAIDs, estro-progestins, progestins, danazol, and gonadotropin-releasing hormone analogues. Investigational options mentioned are aromatase inhibitors, anti-angiogenic drugs, and immunomodulators. The ideal treatment is described as one that is curative, treats both pain and fertility, and has an acceptable safety profile.
This document summarizes research on interventions for polycystic ovarian syndrome (PCOS) in non-obese women. It finds that metformin, clomiphene citrate, and oral contraceptives are effective first-line treatments. Metformin increases ovulation and menstrual regularity by decreasing insulin resistance and androgen production. Studies show metformin is more effective than clomiphene citrate at restoring fertility and reducing hyperandrogenism in non-obese women with PCOS. While clomiphene citrate acts faster, combining it with metformin increases its effectiveness. Baseline BMI, insulin resistance, and androgen levels can predict treatment success, with lower levels associated with ovulation.
it describes in detail about causes, investigations and management of female infertility.in the end of presentation, it includes a video demonstration to describe the management options of assisted conception.
International Journal of Pharmaceutical Science Invention (IJPSI)inventionjournals
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online
Understanding the Relationship- Endometriosis and Ovarian Cancer.pptxFFragrant
Endometriosis rarely cause ovarian cancer. However, it can bring many harms to women. Generally, women can seek herbal medicine Fuyan Pill to get a cure.
Endometriosis is a condition where endometrial tissue grows outside the uterus, often resulting in pelvic pain and infertility. Key points:
- It is most common in women of reproductive age and is characterized by dysfunctional uterine tissue implants in the pelvis that cause pain, especially during periods.
- Diagnosis requires laparoscopy to visualize the implants. Treatment depends on severity and reproductive plans, and may include expectant care, hormonal therapies like oral contraceptives to induce pseudopregnancy, or surgery to remove implants and adhesions.
- Hormonal therapies aim to suppress menstruation and the ectopic endometrial tissue through continuous combination estrogen-progestin pills,
Diagnosis & Management of Endometriosis: pathophysilogy to practiceAzizan Hanny
This document provides information about a module on the diagnosis and management of endometriosis. It discusses the pathophysiology, symptoms, historical background, theories of pathogenesis, and diagnosis and treatment of endometriosis. The module includes an online monograph, PowerPoint slides, and interactive case studies to educate medical professionals on timely diagnosis and effective treatment of endometriosis to improve outcomes for patients.
Evidence linked treatment for endometriosis-associated infertilityApollo Hospitals
Endometriosis is conventionally defined as the presence of
tissue lesions or nodules that are histologically similar to
the endometrium, but are present at sites outside the uterus.It is a chronic, often recurring disease of complex and unclear aetiology. Endometriosis is a highly variable condition in terms of age and mode of presentation, range of symptoms, anatomical sites, response to treatment and likelihood of recurrence.
This document discusses using phytoestrogens from asparagus and soybeans to treat menstrual disorders. It provides background on common menstrual problems and their impact. Studies show asparagus helps regulate the menstrual cycle, increases libido, and treats inflammation of sexual organs. Asparagus balances hormones and moistens tissues. Soybeans are rich in protein, fat, and iron and help balance hormones. The proposed study will give supplements to women aged 18-23 with menstrual issues and women aged 43-53 with pre/post-menopausal symptoms to see if the supplements improve symptoms. Data on menstrual problems, irregularities, and health issues will be collected. The study expects the supplements may help cure some menstrual disorder symptoms.
Vaginal fistulas are abnormal passages connecting the vagina to other organs like the bladder or rectum, causing leakage of urine or feces into the vagina. The main types are vesicovaginal (bladder), ureterovaginal, urethrovaginal, and rectovaginal fistulas. Symptoms include leakage through the vagina and irritation. Diagnosis involves tests like cystoscopy, and treatment aims to surgically repair the fistula. Nursing care focuses on hygiene, comfort, and prevention/treatment of infections.
Women's health refers to the branch of medicine focused on treating diseases and conditions affecting women's physical and emotional well-being. It includes areas like reproductive health, cancer screening, sexual health, and more. Preventative care includes regular exams, cancer screenings, immunizations, and lifestyle assessments. Services also address issues like breast cancer, infertility, pregnancy, and other gynecological concerns. The women's health team is made up of providers from different specialties including OB/GYNs, surgeons, and other doctors and nurses.
This study examined the usefulness of triple assessment (clinical examination, radiology, and fine needle aspiration cytology) in evaluating lumpy breasts in peri-menopausal women. 63 women aged 35-45 with lumpy breasts underwent clinical exams, ultrasound or mammography, FNAC if possible, and excision biopsy. Histopathology found 33 cases of fibrocystic changes, 21 fibroadenomas, and 4 malignancies. Clinical diagnosis agreed poorly with histology, while radiology and FNAC agreed reasonably well, particularly for diagnosing malignancy. The study found triple assessment useful for evaluating lumpy breasts, with radiology and FNAC providing better diagnostic accuracy than clinical exam alone.
roles are largely complete when they hand an investigation.docxwrite4
This document outlines the responsibilities of investigators at different phases of a criminal investigation from initial response to a crime scene through trial preparation. It provides guidance to complete an assignment detailing the steps, procedures, best practices, legal obligations and potential pitfalls at each phase, including: processing the initial crime scene; gathering information and interviewing witnesses during the investigation; identifying, locating, apprehending and interrogating suspects; assembling the final report and presenting the case to prosecutors; and preparing evidence and testimony for prosecution and trial. The assignment criteria include describing responsibilities at each phase, examining relevant procedures, analyzing strategies, and citing references.
The military plays an important role in responding to domestic disasters by providing personnel, equipment, and logistical support. During 9/11 and Hurricane Katrina, fighter jets patrolled cities and the National Guard and Coast Guard conducted large-scale rescue operations. While the military is effective at disaster response, there are also debates around federalizing the National Guard, authorizing deadly force, and declaring martial law during relief efforts.
Gynecological symptoms and management assignment.docxsdfghj21
The document discusses a case study of a 48-year-old woman presenting with prolonged menstrual bleeding lasting 3 weeks and irregular periods for the past 8 months. The primary diagnosis is likely perimenopause, characterized by symptoms like hot flashes, mood changes, heavy bleeding, and missed cycles. Differential diagnoses include polycystic ovarian syndrome, endometrial hyperplasia, and hypothyroidism. Treatment options for perimenopause discussed are low-dose oral contraceptives, hormone replacement therapy, vitamin supplements, and lifestyle changes like yoga and diet. Educating patients on common perimenopause symptoms and management strategies is important.
Georgine Lamvu, MD, MPH prepared useful Practice Aids pertaining to the diagnosis and management of endometriosis and uterine fibroids for this CME activity titled "Current and Emerging Therapies for Endometriosis and Uterine Fibroids: What Do You Need to Know?" For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at https://bit.ly/3cH0J2A. CME credit will be available until August 2, 2021.
Probable Consequences of Menopause on body tissues and systemsiosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice.The journal publishes original papers, reviews, special and general articles, case management etc.
This document discusses several gynecological conditions including dysmenorrhoea (painful periods), premenstrual syndrome (PMS), amenorrhoea (absence of periods), polycystic ovarian syndrome (PCOS), and post-menopausal bleeding. It provides details on the definitions, causes, diagnostic approaches and treatment options for each condition. Key points include that dysmenorrhoea affects 45-95% of women and can be caused by endometriosis or adenomyosis; PMS involves physical and emotional symptoms before a woman's period; amenorrhoea can be primary or secondary; PCOS involves irregular periods, excess androgen levels and polycystic ovaries; and post
This document discusses new frontiers in the management of endometriosis. It provides background on the history and diagnosis of endometriosis. Pain and infertility are identified as the main clinical features. Diagnosis involves ultrasound, MRI, laparoscopy and the Endometriosis Fertility Index staging system. Current medical treatment options discussed include NSAIDs, estro-progestins, progestins, danazol, and gonadotropin-releasing hormone analogues. Investigational options mentioned are aromatase inhibitors, anti-angiogenic drugs, and immunomodulators. The ideal treatment is described as one that is curative, treats both pain and fertility, and has an acceptable safety profile.
This document summarizes research on interventions for polycystic ovarian syndrome (PCOS) in non-obese women. It finds that metformin, clomiphene citrate, and oral contraceptives are effective first-line treatments. Metformin increases ovulation and menstrual regularity by decreasing insulin resistance and androgen production. Studies show metformin is more effective than clomiphene citrate at restoring fertility and reducing hyperandrogenism in non-obese women with PCOS. While clomiphene citrate acts faster, combining it with metformin increases its effectiveness. Baseline BMI, insulin resistance, and androgen levels can predict treatment success, with lower levels associated with ovulation.
it describes in detail about causes, investigations and management of female infertility.in the end of presentation, it includes a video demonstration to describe the management options of assisted conception.
International Journal of Pharmaceutical Science Invention (IJPSI)inventionjournals
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online
Understanding the Relationship- Endometriosis and Ovarian Cancer.pptxFFragrant
Endometriosis rarely cause ovarian cancer. However, it can bring many harms to women. Generally, women can seek herbal medicine Fuyan Pill to get a cure.
Endometriosis is a condition where endometrial tissue grows outside the uterus, often resulting in pelvic pain and infertility. Key points:
- It is most common in women of reproductive age and is characterized by dysfunctional uterine tissue implants in the pelvis that cause pain, especially during periods.
- Diagnosis requires laparoscopy to visualize the implants. Treatment depends on severity and reproductive plans, and may include expectant care, hormonal therapies like oral contraceptives to induce pseudopregnancy, or surgery to remove implants and adhesions.
- Hormonal therapies aim to suppress menstruation and the ectopic endometrial tissue through continuous combination estrogen-progestin pills,
Diagnosis & Management of Endometriosis: pathophysilogy to practiceAzizan Hanny
This document provides information about a module on the diagnosis and management of endometriosis. It discusses the pathophysiology, symptoms, historical background, theories of pathogenesis, and diagnosis and treatment of endometriosis. The module includes an online monograph, PowerPoint slides, and interactive case studies to educate medical professionals on timely diagnosis and effective treatment of endometriosis to improve outcomes for patients.
Evidence linked treatment for endometriosis-associated infertilityApollo Hospitals
Endometriosis is conventionally defined as the presence of
tissue lesions or nodules that are histologically similar to
the endometrium, but are present at sites outside the uterus.It is a chronic, often recurring disease of complex and unclear aetiology. Endometriosis is a highly variable condition in terms of age and mode of presentation, range of symptoms, anatomical sites, response to treatment and likelihood of recurrence.
This document discusses using phytoestrogens from asparagus and soybeans to treat menstrual disorders. It provides background on common menstrual problems and their impact. Studies show asparagus helps regulate the menstrual cycle, increases libido, and treats inflammation of sexual organs. Asparagus balances hormones and moistens tissues. Soybeans are rich in protein, fat, and iron and help balance hormones. The proposed study will give supplements to women aged 18-23 with menstrual issues and women aged 43-53 with pre/post-menopausal symptoms to see if the supplements improve symptoms. Data on menstrual problems, irregularities, and health issues will be collected. The study expects the supplements may help cure some menstrual disorder symptoms.
Vaginal fistulas are abnormal passages connecting the vagina to other organs like the bladder or rectum, causing leakage of urine or feces into the vagina. The main types are vesicovaginal (bladder), ureterovaginal, urethrovaginal, and rectovaginal fistulas. Symptoms include leakage through the vagina and irritation. Diagnosis involves tests like cystoscopy, and treatment aims to surgically repair the fistula. Nursing care focuses on hygiene, comfort, and prevention/treatment of infections.
Women's health refers to the branch of medicine focused on treating diseases and conditions affecting women's physical and emotional well-being. It includes areas like reproductive health, cancer screening, sexual health, and more. Preventative care includes regular exams, cancer screenings, immunizations, and lifestyle assessments. Services also address issues like breast cancer, infertility, pregnancy, and other gynecological concerns. The women's health team is made up of providers from different specialties including OB/GYNs, surgeons, and other doctors and nurses.
This study examined the usefulness of triple assessment (clinical examination, radiology, and fine needle aspiration cytology) in evaluating lumpy breasts in peri-menopausal women. 63 women aged 35-45 with lumpy breasts underwent clinical exams, ultrasound or mammography, FNAC if possible, and excision biopsy. Histopathology found 33 cases of fibrocystic changes, 21 fibroadenomas, and 4 malignancies. Clinical diagnosis agreed poorly with histology, while radiology and FNAC agreed reasonably well, particularly for diagnosing malignancy. The study found triple assessment useful for evaluating lumpy breasts, with radiology and FNAC providing better diagnostic accuracy than clinical exam alone.
roles are largely complete when they hand an investigation.docxwrite4
This document outlines the responsibilities of investigators at different phases of a criminal investigation from initial response to a crime scene through trial preparation. It provides guidance to complete an assignment detailing the steps, procedures, best practices, legal obligations and potential pitfalls at each phase, including: processing the initial crime scene; gathering information and interviewing witnesses during the investigation; identifying, locating, apprehending and interrogating suspects; assembling the final report and presenting the case to prosecutors; and preparing evidence and testimony for prosecution and trial. The assignment criteria include describing responsibilities at each phase, examining relevant procedures, analyzing strategies, and citing references.
The military plays an important role in responding to domestic disasters by providing personnel, equipment, and logistical support. During 9/11 and Hurricane Katrina, fighter jets patrolled cities and the National Guard and Coast Guard conducted large-scale rescue operations. While the military is effective at disaster response, there are also debates around federalizing the National Guard, authorizing deadly force, and declaring martial law during relief efforts.
Role of telemedinine in disease preventions.docxwrite4
Telemedicine can play an important role in preventive medicine by allowing medical professionals to monitor patients remotely, collect health data over time, and intervene early if signs of disease emerge. However, the source material did not include a full research article describing a study on this topic. It only listed keywords and did not provide details on goals, methods, findings or impact. More information would be needed to fully evaluate telemedicine's role in prevention.
Digital tools like social media are increasingly used to influence public opinion, not just for advertising but also for legal and illegal political purposes. Researchers are asked to demonstrate an independent and mature analysis of how influence campaigns operate online, the tools and techniques they employ, their effectiveness, and how to counter them, discussing at what point such practices could go too far in western democracies.
The document provides instructions for a speech on the role of private security. The speech should:
1) Welcome the audience and introduce the purpose of discussing a security director's responsibilities.
2) Identify current challenges for security directors and possible solutions.
3) Discuss a director's roles in loss prevention, investigation, administration, and management.
4) Identify the critical skills needed for a director to succeed.
5) Discuss why internal and external relationships are important to meet security objectives and provide examples.
6) Conclude by summarizing and opening to questions.
Robbie a 12 year old is hospitalized for multiple.docxwrite4
Robbie, a 12-year-old boy, is hospitalized with terminal multiple myeloma. His mother rarely visits and does not engage with him when she does. Robbie's father refuses to acknowledge Robbie's terminal condition and demands further treatment. When Robbie asks the nurse if he is dying, the nurse must determine the most ethical way to respond while considering medical facts, the parents' wishes, and Robbie's right to know.
Robbins Network Services (RNS) is a company that provides network services. An audit plan is being created for RNS to analyze its business environment and determine what internal controls may be needed. The memo will evaluate RNS's internal controls by describing its major financial transactions, evaluating its highest business risks and supporting controls for the industry, and addressing ethical issues and current events that could impact financial audits.
The document provides guidance for writing a close reading analysis of a text excerpt from Robinson Crusoe. It advises analyzing specific quotes in detail over multiple sentences rather than a brief interpretation. For example, it suggests explaining the language techniques used in a quote that describes Crusoe's relationship with Friday, and analyzing how the quote reveals Crusoe's desire to control Friday despite using the metaphor of a parent-child relationship. The purpose of this close analysis is to provide concrete evidence and make insightful observations about the text that may not be obvious at first reading.
The document provides instructions for writing a literary analysis paper on the short story "The Rocking Horse Winner" by D.H. Lawrence. It prompts the reader to develop a three-part thesis question and use it to structure a three-part outline answering the question, with each part supported by evidence from the text. The outline should then be used to guide research finding additional sources to further support each part of the outline. Finally, the document instructs the writer to develop a rough draft and final draft of the paper following MLA formatting guidelines.
Rodrigo Diaz, known as El Cid, decided while in exile to remain loyal to King Alfonso and serve him if called upon, though he was willing to contradict the king if he felt Alfonso was wrong. The document asks if Rodrigo was right to maintain his loyalty to Alfonso over many years despite any mistreatment, or if he should have withdrawn support sooner given the king's imperfections.
Role in Decision Making What is should be.docxwrite4
Nursing's role in decision making for selecting information systems is an important issue. Nurses should be involved in the decision making process to select systems that support the delivery of quality patient care and meet nursing workflow needs. Research shows nurse input is valuable for choosing systems that align with nursing practice and improve patient outcomes.
Samantha Chanel De Vera Posted Date Apr.docxwrite4
Weaning from mechanical ventilation should be considered when the disease prompting intubation has improved and daily screening for weaning potential is performed. Studies show most intubated patients should have scheduled spontaneous breathing trials following daily sedation breaks. For SBT, the patient must be alert, able to follow commands and breathe spontaneously, with stable oxygenation and hemodynamics before extubation. Daily SBT involves at least 30-120 minutes of breathing without ventilator support using an open breathing circuit or minimal pressure support. A successful SBT is when the patient can breathe without distress and their vital signs remain stable.
Ruth milikan chapters 5 and 6 in her book varieties.docxwrite4
Ruth Milikan critiques Fred Dretske's teleological theory of intentional representation from his book Varieties of Meaning. Dretske claims that some items have the function of carrying natural information and when they do this, they come to represent intentionally and can be false representations. Dretske's theory of items gaining intentional representation through naturally carrying information provides an example of a completed teleological theory of representation as described in Milikan's book.
Samantha Chanel De Vera Posted Date Mar.docxwrite4
Mr. Jackson presented with abdominal pain and other symptoms. Differential diagnoses included appendicitis, urinary calculus, and bowel perforation. Laboratory tests showed elevated white blood cells. A CT scan showed an enlarged cecum with a small fluid collection, consistent with acute appendicitis. This led to a diagnosis of appendicitis, ruling out the other differentials.
Russian Revolution Under Lenin and Trotsky.docxwrite4
The document discusses Lenin and Trotsky's visions for the Russian Revolution. It asks the reader to write a paper answering whether Lenin and Trotsky envisioned the revolution as a national or international project, and to what extent they framed it as a Russian enterprise versus a worldwide endeavor. The reader is instructed to support their response with evidence from assigned texts by Lenin and Trotsky addressing themes of exploitation, emancipation, and imperialism, and to properly cite any direct quotes or indirect references using author and page number.
Review the papers below and watch The Untold Story.docxwrite4
The document discusses ethical leadership and summarizes several key points:
1) Ethical leaders prioritize effective communication, quality, collaboration, succession planning, and tenure to establish high standards and build trust with followers.
2) Factors like communication, quality processes, consulting advisors, training, and long-term planning help ethical leaders achieve goals and control outcomes.
3) The Challenger disaster video illustrates how a leader's decision can impact results, and emphasizes applying ethical values like integrity and accountability in leadership.
Samantha Chanel De Vera Posted Date May.docxwrite4
Multiple organ dysfunction syndrome (MODS) refers to the severe acquired dysfunction of at least two organ systems lasting 24-48 hours due to conditions like sepsis, trauma, or burns. A patient presented with encephalopathy, hypotension, metabolic acidosis, acute renal failure, and thrombocytopenia, leading to a diagnosis of severe sepsis. Severe sepsis is the presence of sepsis along with organ dysfunction, which can include hypotension, acute lung injury, coagulation abnormalities, renal or liver dysfunction, or lactic acidosis. The patient was treated following sepsis bundles including antibiotics, IV fluids, and vasopressors.
The document provides instructions for a paper assignment on the architectural history of the Ka'ba in Mecca, Saudi Arabia. Students are asked to write a 6 page paper that includes: an introduction, basic facts and history of the building, analysis of precedents and influences, 2 pages of original diagrams, and a conclusion. In addition to the written component, students must include 4 pages of existing images and 2 pages of original diagrams. They are expected to find at least 10 scholarly sources to cite and the final paper should be approximately 14 pages total. The goals of the assignment are to develop research, analysis, graphic, and writing skills related to architectural subjects.
The document discusses the tension between privacy rights and national security in the digital age. It notes that while civil liberties are highly valued, they sometimes conflict with safety concerns. New technologies now record people's activities more through cameras, smartphones, and other means. The assignment asks readers to analyze privacy versus security by addressing questions about which part of the Constitution protects privacy rights, whether those protections still apply today, and how courts have balanced privacy and security when national security issues arise.
Richard Rodriguez has generally been criticized by immigrant Identify.docxwrite4
Richard Rodriguez, an immigrant writer, has received criticism from some immigrant activists. Two passages from his work convey attitudes that may explain this backlash. Specifically, his tone and ideas suggest perspectives on immigration that immigrant activists oppose.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
The chapter Lifelines of National Economy in Class 10 Geography focuses on the various modes of transportation and communication that play a vital role in the economic development of a country. These lifelines are crucial for the movement of goods, services, and people, thereby connecting different regions and promoting economic activities.
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Training: ISO/IEC 27001 Information Security Management System - EN | PECB
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Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
B. Ed Syllabus for babasaheb ambedkar education university.pdf
HCP224 Medical Terminology.docx
1. HCP224 Medical Terminology
Answers:
Infertility
Infertility can be defined as the inability to achieve pregnancy after regular unprotected
sexual activity (Khizroeva et al., 2019).
The pathophysiology of infertility includes hormonal imbalance, polycystic ovary syndrome,
hypothyroidism, hyperprolactinaemia, obesity and diabetes mellitus.
The symptoms of infertility in females includes abnormal menstruation cycle associated
with pain and cramps, irregular menstrual cycle varying every month and skipped
menstrual cycles (Morgante et al., 2018).
Certain blood test can diagnose infertility like Thyroid profile, Presence of follicle
stimulating hormone, luteinizing hormone, and prolactin in blood.
Differential diagnosis for infertility in women is ultrasound of ovary and uterus, ovarian
reserve testing and hysterosalpingography.
The non-pharmacological treatment of infertility includes reducing body weight, intake of
healthy diet, and regular exercise.
The pharmacological treatment for infertility among women includes certain fertility drugs
like gonadotropins, clomiphene citrate, metformin, bromocriptine and letrozole.
In the present world, infertility is one of the most common diseases among people that is
mainly observed in women. It denotes an unnatural state of an adult in which the person is
unable to become pregnant. There are certain causes that lead to infertility including
delayed puberty, genetics, environmental factors and lifestyle factor.
The woman must visit fertility expert for the treatment and regular follow up must be done
for treatment purpose (He et al., 2018).
Dysmenorrhoea
Dysmenorrhoea is a term used for menstrual cramps associated with severe pain (Armour
et al., 2019).
The abnormal and increased level of prostanoid and eicosanoid secretion might cause
dysmenorrhoea.
The symptoms of dysmenorrhoea include cramps in lower abdomen during menstruation,
pain in lower abdomen, nausea, vomiting, fatigue and back pain.
Secondary dysmenorrhoea can be diagnosed by hysterosalpingography, Laparoscopy and
Transvaginal ultrasonography.
The three differential diagnosis of menstrual cramps or dysmenorrhoea includes
2. Ultrasound of uterus, fallopian tubes, ovaries and cervix, MRI of ovaries and hysteroscopy
(Barcikowska et al., 2020).
Non-pharmacological treatment for dysmenorrhoea includes use of hot bag in the lower
abdomen, reducing body weight, healthy diet and regular exercise.
The pharmacological treatment of dysmenorrhoea includes surgery, pain relievers and
hormonal birth control pills.
Dysmenorrhoea, which is commonly known as menstrual cramps are pain in lower
abdomen before or during menstruation cycle. It is common among women who suffer from
heavy menstrual bleeding, irregular menstrual cycle and polycystic ovary syndrome. It is
classified either as primary or as secondary based upon certain conditions.
A woman with dysmenorrhoea might visit a gynaecologist for treatment of the same.
Frequent follow-ups must be done with the time interval of not more than three months
(Woo et al., 2018).
Uterine Fibroids
Uterine fibroids, which are also called uterine leiomyomas are the benign smooth muscle
tumours in uterus (Pavone et al., 2018).
It is one of the main causes of the abnormal uterine bleeding in women and is developed
during reproductive years. Its growth is dependent on ovarian steroid hormones like
progesterone and oestrodiol.
Symptoms of uterine fibroids include heavy menstrual bleeding, pelvic pain, constipation,
longer menstrual cycle, frequent urination, back pain and difficulty during urination
(Manyonda et al., 2020).
Laboratory test of uterine fibroids includes Ultrasound of uterus and magnetic resonance
imaging.
The three differential diagnoses of uterine fibroids are hysterosalpingography,
hysterosonography and hysteroscopy.
Non-pharmacological treatment for uterine fibroids includes uterine artery embolization,
radio-frequency ablation, laparoscopic myomectomy, hysteroscopic myomectomy and
many more (Manyonda et al., 2020).
Pharmacological treatment includes gonadotropin-releasing hormone agonists, progestin
releasing intrauterine device tranexamic acid and non-steroidal anti-inflammatory drugs.
Most of the patient does not have any symptoms; however, few women have heavy
menstruation associated with pain. It Causes pain during sex and if the size becomes large it
pushes the bladder which cause frequent urination. However, after menopause, the size
eventually decreases and it is a common cause for uterus removal in women.
Although it is not severe disease but in few cases the woman might visit the physician.
Long-term follow up is required after the treatment (Li et al., 2020).
Polycystic Ovarian Syndrome
Polycystic ovarian syndrome is one of the most common endocrine disorder among women
(Patel, 2018).
The pathophysiology of polycystic ovarian syndrome includes interaction of epigenetic and
genetic changes, Alteration of neuroendocrine system; primary ovarian abnormalities end
metabolic modifiers.
3. The symptoms of polycystic ovary syndrome include polycystic ovaries, irregular
menstruation cycles and excessive androgen.
Pelvic ultrasound is one of the common methods for diagnosing polycystic ovary syndrome
(Paris et al., 2020).
The differential diagnosis of polycystic ovary syndrome includes hypothyroidism,
hyperprolactinaemia and congenital adrenal hyperplasia.
The non-pharmacological treatment of polycystic ovarian syndrome is the modification of
lifestyle, reducing weight, restriction on calorie intake and maintenance of healthy body
weight.
The pharmacological treatment includes progestin therapy, combination birth control pills,
metformin, gonadotropins, letrozole and clomiphene.
Polycystic ovary syndrome may cause problem for conceiving and is caused by Hormonal
changes in the body. The ovary is filled with cysts, which are the immature follicles, which
appears as a “string of flowers” during ultrasound exam.
Polycystic ovary syndrome may cause infertility in women and so proper treatment must be
done with frequent follow up for improving the condition (Kazemi et al., 2020).
Endometriosis
Endometriosis is the disease associated with the female reproductive system (Bulun et al.,
2019).
Histopathological and epidemiological studies indicated that the endometriotic tissue is
considered as the origin of ovarian cell carcinoma and ovarian endometrioid carcinomas
that are collectively called Endometriosis associated cancer.
The symptoms of endometriosis include dysmenorrhoea, Painful intercourse, infertility,
pain with the bowel movement and urination, excessive bleeding and fatigue.
The laboratory diagnosis of endometriosis includes pelvic examination.
The differential diagnosis of endometriosis is ultrasound, laparoscopy and magnetic
resonance imaging (Agarwal et al., 2019).
The non-pharmacological treatment of endometriosis includes Acupuncture and
physiotherapeutic therapy.
The pharmacological treatment includes Medications for pain, hormonal therapy, fertility
treatment and conservative surgery.
In endometriosis, cells that are similar to those in endometrium grow inside and outside of
the uterus. The cells usually covered the ovaries, fallopian tubes and the tissues
surrounding the uterus and ovary. It is another factor, that leads to infertility among women
and are associated with pelvic pain, heavy menstrual bleeding and pain during bowel
movement.
Clinical intervention is important with frequent and long-term follow up by the physician
(Li et al., 2019).
References
Agarwal, S. K., Chapron, C., Giudice, L. C., Laufer, M. R., Leyland, N., Missmer, S. A., ... & Taylor,
H. S. (2019). Clinical diagnosis of endometriosis: a call to action. American journal of
obstetrics and gynecology, 220(4), 354-e1.
4. https://www.sciencedirect.com/science/article/pii/S000293781930002X
Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., ... & Smith, C. A. (2019).
The prevalence and academic impact of dysmenorrhoea in 21,573 young women: a
systematic review and meta-analysis. Journal of women's health, 28(8), 1161-1171.
https://www.liebertpub.com/doi/full/10.1089/jwh.2018.7615
Barcikowska, Z., Rajkowska-Labon, E., Grzybowska, M. E., Hansdorfer-Korzon, R., & Zorena,
K. (2020). Inflammatory markers in dysmenorrhoea and therapeutic options. International
journal of environmental research and public health, 17(4), 1191.
https://www.mdpi.com/1660-4601/17/4/1191
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He, Y., Tian, J., Oddy, W. H., Dwyer, T., & Venn, A. J. (2018). Association of childhood obesity
with female infertility in adulthood: a 25-year follow-up study. Fertility and
sterility, 110(4), 596-604. https://doi.org/10.1016/j.fertnstert.2018.05.011
Kazemi, M., Pierson, R. A., McBreairty, L. E., Chilibeck, P. D., Zello, G. A., & Chizen, D. R.
(2020). A randomized controlled trial of a lifestyle intervention with longitudinal follow?up
on ovarian dysmorphology in women with polycystic ovary syndrome. Clinical
endocrinology, 92(6), 525-
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Khizroeva, J., Nalli, C., Bitsadze, V., Lojacono, A., Zatti, S., Andreoli, L., ... & Makatsariya, A.
(2019). Infertility in women with systemic autoimmune diseases. Best Practice & Research
Clinical Endocrinology & Metabolism, 33(6), 101369.
https://doi.org/10.1016/j.beem.2019.101369
Li, W., Jiang, Z., Deng, X., & Xu, D. (2020). Long-term follow-up outcome and reintervention
analysis of ultrasound-guided high intensity focused ultrasound treatment for uterine
fibroids. International Journal of Hyperthermia, 37(1), 1046-1051.
https://www.tandfonline.com/doi/full/10.1080/02656736.2020.1807617
Li, X. Y., Chao, X. P., Leng, J. H., Zhang, W., Zhang, J. J., Dai, Y., ... & Wu, Y. S. (2019). Risk factors
for postoperative recurrence of ovarian endometriosis: long-term follow-up of 358
women. Journal of ovarian research, 12(1), 1-10.
https://link.springer.com/article/10.1186/s13048-019-0552-y
Manyonda, I., Belli, A. M., Lumsden, M. A., Moss, J., McKinnon, W., Middleton, L. J., ... &
5. McPherson, K. (2020). Uterine-artery embolization or myomectomy for uterine
fibroids. New England Journal of Medicine, 383(5), 440-451.
https://www.nejm.org/doi/full/10.1056/NEJMoa1914735
Morgante, G., Massaro, M. G., Di Sabatino, A., Cappelli, V., & De Leo, V. (2018). Therapeutic
approach for metabolic disorders and infertility in women with PCOS. Gynecological
Endocrinology, 34(1), 4-9.
https://www.tandfonline.com/doi/abs/10.1080/09513590.2017.1370644
Paris, V. R., Solon-Biet, S. M., Senior, A. M., Edwards, M. C., Desai, R., Tedla, N., ... & Walters, K.
A. (2020). Defining the impact of dietary macronutrient balance on PCOS traits. Nature
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Pavone, D., Clemenza, S., Sorbi, F., Fambrini, M., & Petraglia, F. (2018). Epidemiology and
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Woo, H. L., Ji, H. R., Pak, Y. K., Lee, H., Heo, S. J., Lee, J. M., & Park, K. S. (2018). The efficacy
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