Recent evidence based guideline regarding Ovarian drilling very helpful for Gynaecologist, laparoscopic surgeon, Infertility specialist, Post doctoral fellows and post graduates
Recent evidence based guideline regarding Ovarian drilling very helpful for Gynaecologist, laparoscopic surgeon, Infertility specialist, Post doctoral fellows and post graduates
Embryo implantation in the region of a previous caesarean section scar is a rare but potentially catastrophic complication of a previous cesarean birth.
NEW USES OF LASER IN GYNECOLOGY
International Society for the Study of Vulvovaginal Disease (ISSVD)
International Continence Society (ICS)
2019 Guidelines
Embryo implantation in the region of a previous caesarean section scar is a rare but potentially catastrophic complication of a previous cesarean birth.
NEW USES OF LASER IN GYNECOLOGY
International Society for the Study of Vulvovaginal Disease (ISSVD)
International Continence Society (ICS)
2019 Guidelines
Brig (Dr) R.K. Sharma’s institute is amongst the most highly reliable IVF centers in India. For childless couples, IRMIC offer the best fertility services – IVF, Egg Donation, ICSI, Ovulation Induction, Egg Donation, Fertility Enhancing Surgery and lots more. For more information, get in touch with us quickly.
Egg freezing, also known as oocyte cryopreservation, is a great advancement in technology allowing women to preserve their fertility and their eggs. These eggs, once removed from the body are frozen using special techniques and can be used to make babies by the process of IVF when the woman desires.
Example to help in PPT preparation for dissertation defense in medicine. This thesis was in PCOS and infertility management. Fresh versus frozen thawed ET in PCOS
Anti-Müllerian Hormone (AMH) is critical for physiologic involution of the Mullerian ducts during sexual differentiation in the male foetus.
In women,AMH is a product of the small antral follicles in the ovaries and serves to function as an autocrine and paracrine regulator of follicular maturation
MONITORING PITUITARY DOWN-REGULATION
If GnRH Agonist is started in the late luteal phase a menstrual bleeding normally indicates that the estrogen is low and FSH can be started.
Blood tests will clearly confirm down-regulation – ovarian/pituitary hormones.
Live birth by fallopian tube sperm perfusion in hyperprolactinemic woman afte...lukeman Joseph Ade shittu
The case presented describes a live birth following treatment of a 35-year-old woman with fallopian tube sperm perfusion (FTSP) using donor sperm after three-repeated unsuccessful courses of In-vitro fertilization (IVF) with Percutaneous Epididymal Sperm Aspiration (PESA), Testicular Sperm Extraction (TESE), and donor sperm. The indication of FTSP is hereby explored and discussed.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
1. SUPERVISIORS
SUPERVISIORS
Ovarian Volume Prof.Dr.
Prof.Dr.
Thesis
Basal Safaa Kamal Submitted for partial
FSH Level Maraie the
fulfillment of fulfillment of the
Professor of Obstetrics and Gynecology
And Professor of Obstetrics and Gynecology
Faculty of Medicine requirements of
Faculty of Medicine
Antral Follicles Tanta University
Tanta University
Prof.Dr.
Prof.Dr.
the M.S. Degree
In
Count
بسم ا الرحمن الرحيم
Naglaa Mohammad Lotfy Dabees
Obstetrics and Gynecology
Assistant professor of Diagnostic Radiology
Assistant professor of Diagnostic Radiology
before and after By Faculty of Medicine
Faculty of Medicine
Laparoscopic Ahmed Sameh
Tanta University
Tanta University
Dr.
Dr.
Ovarian Drilling Talat Ghoubara
Mohamed Ahmed El-Sharawy
in Women with of Obstetrics and Gynecology
Lecturer of Obstetrics and Gynecology
Lecturer
(M.B.B.CH.)
Faculty of Medicine
Faculty of Medicine
PCOS Tanta University
Tanta University
2012
2012
2. Aim of the Work
This study aims to evaluate
ovarian volume
basal follicular stimulating hormone level
and
antral follicles count
as predictors of
ovarian reserve
before and after
laparoscopic ovarian drilling
in women with
polycystic ovarian syndrome.
7. x GnRH
E2 -ve FB on
hypothalamus
The idea of bFSH
as an ORT
x FSH
E2/Inhibin-B -ve FB on
pituitary
Decreased –ve FB of
E2 on FSH
E2/ rise in FSH
Inhibin-B
8. FSH is most common used ORT in
clinical practice, it can diagnose:
Normal ovarian function
Premature ovarian failure
Perimenopause and menopause
DOR
9. Some studies concluded that
bFSH > 20 mIU/ml
Marked decrease in Marked decrease in succeeded
spontaneous pregnancy IVF pregnancy
10. Because of the test variability and false +ve
results
bFSH is just a screening test
for the purpose of counselling
11. x x x
we cannot exclude patients from IVF cycles
on the basis of bFSH alone
34. We selected our
The present
patients
Study was
according to the
conducted on
following inclusion
30 patients
criteria:
35. 1. Primary infertility
2. Less than 35 years old
3. BMI < 30
4. Rotterdam Criteria of PCOS
5. No ovulation induction for 3 months
6. Indicated for LOD
??
36. We DRILL when there
is:
1. Anovulatory infertility with CC resistance
2. Persistent hyper-secretion of LH
3. Repeated overresponse to Gonadotropins or
CC
4. Patients who found it difficult to keep
attendance for close monitoring of folliculo-
metry
37. We excluded patients with:
1.More than 35 years old
2.BMI of Equal to or more than 30 kg/m2
3.History of pelvic surgery
4.History of ovarian disease (Tumors, Cysts,
TOA)
5.History of ovulation induction within 3 months
prior to the procedure
6.+ve pregnancy test during the study
38. To fulfill the inclusion and exclusion criteria:
History taking
special comments on marital, husband and sexual
history
Examination
special comments on local gynecological
examination
Investigations
Routine investigations e.g. CBC, LFTs, ….
43. Before we count
Measuring the
the antral follicles,
average diameter:
Only follicles that
identification of
2 perpendicular
range from 2-9
them is required
diameters divided
mm were counted
first
by 2
44. Because the ovary
is prolate rather
than ovoid
We used the prolate
ellpsoid formula of
volume
51. LOD
Bilateral
4 punctures per each
ovary
4 seconds per each
puncture
40 Watt diathermy
52. bFSH
bFSH bFSH
bFSH bFSH
bFSH
AFC
AFC AFC
AFC AFC
AFC
OVVOL
OVVOL OVVOL
OVVOL OVVOL
OVVOL
Preoperative
Preoperative
First PO cycleSecondPO cycleThirdPO cycle
Second PO cycle
First PO cycle Third PO cycle
cycle
cycle
LOD
57. P value of
ANOVA
was
0.89
FSH
No Significant
difference
between the
preoperative
and
postoperative
basal FSH
mean values
58. Student’s t- test
P value of 0.001 0.476
ANOVA Significant
difference
No significant
was difference
0.001
AFC
Significant
difference
Preoperative
Preoperative
cycle
cycle
First PO cycle Second PO Third PO cycle
First PO cycle Second PO Third PO cycle
cycle
cycle
between the
preoperative LOD
and
postoperative
mean AFC 0.001
Significant
difference
59. P value of
Student’s t- test
0.001 0.787
ANOVA Significant No significant
was difference difference
0.001
OVSignificant
difference
Preoperative
Preoperative
cycle
cycle
First PO cycle Second PO Third PO cycle
First PO cycle Second PO Third PO cycle
cycle
cycle
VOL
between the
preoperative
and
LOD
postoperative
mean ovarian
volume 0.001
Significant
difference
62. According to this study:
there is no decrease in ovarian reserve
after using LOD
HOWEVER
studies with long term follow up
may be required for
clinical
assessment of DOR after LOD
by using other ovarian reserve markers and
different techniques of LOD with or without ovulatory stimulants
in relation
to IVF and pregnancy outcomes
63. It was an Honor to work under my supervisors
Special thanks to
The professor Dr. Safaa Marie
for 2 reasons :
Supreme supervision and guidance
She was the one that had
managed my labor when I was a
newborn on 1984