State of art technologic advances in genetic screening of embryos using CGH methodology can select the best blastocyst for implantation but also neutralizes the risk of pregnancy loss with respect to age.
O documento descreve a anatomia e biomecânica do complexo articular do ombro, incluindo suas articulações, ligamentos, músculos e funções. São descritas as articulações esternoclavicular, acromioclavicular e glenoumeral, assim como a articulação escápulotorácica. Vários músculos e seus papéis no movimento e estabilidade do ombro também são explicados. Por último, aspectos da avaliação clínica do complexo do ombro, como inspeção, palpação e testes especiais,
Actions: Develop a design tool to help incorporate linkages between focal areas
at program level, to break down silos at project level to hard wire linkages into project design (see STAP tool)
Improve coordination of GEF projects across focal areas within a geographic region where potential synergies and value added are high. Capture these synergies in policy reform and governance arrangements to solidify links, improve outcomes and enhance sustainability.
O documento descreve a anatomia e biomecânica do complexo articular do ombro, incluindo suas articulações, ligamentos, músculos e funções. São descritas as articulações esternoclavicular, acromioclavicular e glenoumeral, assim como a articulação escápulotorácica. Vários músculos e seus papéis no movimento e estabilidade do ombro também são explicados. Por último, aspectos da avaliação clínica do complexo do ombro, como inspeção, palpação e testes especiais,
Actions: Develop a design tool to help incorporate linkages between focal areas
at program level, to break down silos at project level to hard wire linkages into project design (see STAP tool)
Improve coordination of GEF projects across focal areas within a geographic region where potential synergies and value added are high. Capture these synergies in policy reform and governance arrangements to solidify links, improve outcomes and enhance sustainability.
İnflamatuvar Bağırsak Hastalıkları - Prof. Dr. Hülya Çetinkayaarifcan
Gastroenteroloji Hastalıkları Uzmanı Prof.Dr.Hülya Çetinkaya'dan İnflamatuvar barsak hastalıkları hakkında bilgiler içerir.
http://www.hulyacetinkaya.com
This document provides a summary of developments in reproductive medicine presented by T. Cordes and K. Diedrich from the University of Schleswig-Holstein, Campus Lübeck, Germany. It discusses milestones from 1960 onward including IVF in 1970, cryopreservation in 1980, and ICSI in 1990. Newer developments discussed include the use of GnRH antagonists for ovarian stimulation, elective single embryo transfer to reduce multiple births, blastocyst culture, and preimplantation genetic screening. In-vitro maturation is presented as an alternative for certain patient groups. Cryopreservation methods such as vitrification are also summarized.
Elonva is a new drug for ovarian stimulation in IVF that has to be studied through randomised controlled trials. Moreover, Meta-analysis of RCTs would enable clinicians and researchers to identify potential benefits and risks
Codes and conventions of the local radio newsellierogan
The document discusses several codes and conventions of local radio news, including impact, human interest, proximity, timeliness, novelty, and progress. Stories that have a large impact on listeners or human interest appeal will be prioritized. Proximity refers to reporting on events near the target audience. Timeliness means focusing on very recent events. Novel or unusual stories as well as significant progress in different fields can also be newsworthy. Local broadcasts will emphasize stories that interest the specific local audience.
David Fincher is an American film director known for movies like Seven, Fight Club, The Social Network, and Gone Girl. He was born in 1962 in Missouri. Some of his notable works include directing the third films he made with actor Brad Pitt and adapting popular novels like Fight Club and Gone Girl into films.
The Curious Case of Benjamin Button is based on a short story about a man who ages in reverse. He is born as an old man and gets younger as he ages. The film explores his unusual life and love story with a woman named Daisy from their first meeting in a nursing home to old age. It addresses themes like the impact of time on human lives and relationships.
Paulina Rubio is a Mexican singer and humanitarian. She began her career in 1981 with the band Timbiriche and has sold over 20 million albums as a solo artist, winning numerous awards. She has also done philanthropic work through organizations like the Latino Commission on AIDS and her own Fundación Paulina Rubio, which helps children in need. The document provides additional biographical details about Rubio, including that she was born in Mexico City to parents Susana Rue and Enrique Rubio González. It also lists some favorite Mexican foods and industries.
Polly Sirinoppakun is introducing herself in her resume. She is a Marketing Communication major with a minor in Public Relations and has worked as a Library Assistant and Executive Chair for the Marian Activities Committee. She has received awards such as the Spirit of Marian Award and Merit Scholarship, and has held roles on committees including Big Band advertising co-chair and hospitality chair.
The document provides a table of contents for a Spanish grammar guide covering topics such as nationalities, verb conjugations, adjectives, object pronouns, prepositions, verb tenses and more. The table lists 35 sections that are explored further in the document, including stem changing verbs, ser vs estar, reflexive verbs, commands, and use of por, para and other prepositions.
İnflamatuvar Bağırsak Hastalıkları - Prof. Dr. Hülya Çetinkayaarifcan
Gastroenteroloji Hastalıkları Uzmanı Prof.Dr.Hülya Çetinkaya'dan İnflamatuvar barsak hastalıkları hakkında bilgiler içerir.
http://www.hulyacetinkaya.com
This document provides a summary of developments in reproductive medicine presented by T. Cordes and K. Diedrich from the University of Schleswig-Holstein, Campus Lübeck, Germany. It discusses milestones from 1960 onward including IVF in 1970, cryopreservation in 1980, and ICSI in 1990. Newer developments discussed include the use of GnRH antagonists for ovarian stimulation, elective single embryo transfer to reduce multiple births, blastocyst culture, and preimplantation genetic screening. In-vitro maturation is presented as an alternative for certain patient groups. Cryopreservation methods such as vitrification are also summarized.
Elonva is a new drug for ovarian stimulation in IVF that has to be studied through randomised controlled trials. Moreover, Meta-analysis of RCTs would enable clinicians and researchers to identify potential benefits and risks
Codes and conventions of the local radio newsellierogan
The document discusses several codes and conventions of local radio news, including impact, human interest, proximity, timeliness, novelty, and progress. Stories that have a large impact on listeners or human interest appeal will be prioritized. Proximity refers to reporting on events near the target audience. Timeliness means focusing on very recent events. Novel or unusual stories as well as significant progress in different fields can also be newsworthy. Local broadcasts will emphasize stories that interest the specific local audience.
David Fincher is an American film director known for movies like Seven, Fight Club, The Social Network, and Gone Girl. He was born in 1962 in Missouri. Some of his notable works include directing the third films he made with actor Brad Pitt and adapting popular novels like Fight Club and Gone Girl into films.
The Curious Case of Benjamin Button is based on a short story about a man who ages in reverse. He is born as an old man and gets younger as he ages. The film explores his unusual life and love story with a woman named Daisy from their first meeting in a nursing home to old age. It addresses themes like the impact of time on human lives and relationships.
Paulina Rubio is a Mexican singer and humanitarian. She began her career in 1981 with the band Timbiriche and has sold over 20 million albums as a solo artist, winning numerous awards. She has also done philanthropic work through organizations like the Latino Commission on AIDS and her own Fundación Paulina Rubio, which helps children in need. The document provides additional biographical details about Rubio, including that she was born in Mexico City to parents Susana Rue and Enrique Rubio González. It also lists some favorite Mexican foods and industries.
Polly Sirinoppakun is introducing herself in her resume. She is a Marketing Communication major with a minor in Public Relations and has worked as a Library Assistant and Executive Chair for the Marian Activities Committee. She has received awards such as the Spirit of Marian Award and Merit Scholarship, and has held roles on committees including Big Band advertising co-chair and hospitality chair.
The document provides a table of contents for a Spanish grammar guide covering topics such as nationalities, verb conjugations, adjectives, object pronouns, prepositions, verb tenses and more. The table lists 35 sections that are explored further in the document, including stem changing verbs, ser vs estar, reflexive verbs, commands, and use of por, para and other prepositions.
This document discusses Euler's theorem and provides an example function u in terms of x and y. It asks to evaluate the expression x^2y^2 + 2xy^2 + y^2 for the given function u. The correct option is given as 8xy.
Matter is anything that takes up space and has mass. There are three states of matter: solids, liquids, and gases. Solids have a definite shape and volume, liquids can be poured but maintain their volume, and gases have no definite shape or volume and will fill their container. Common examples of solids, liquids and gases are provided.
Sonographic Assessment of Blunt Abdominal Trauma in the Emergency Department:...u.surgery
The document discusses the Focused Assessment with Sonography for Trauma (FAST) exam used to diagnose blunt abdominal trauma. The FAST exam uses ultrasound to quickly check for fluid in four areas of the abdomen that could indicate internal bleeding. While fast and non-invasive, the FAST exam has limitations as it can miss some injuries and has variable accuracy depending on the operator. The document explores different trauma algorithms and how the FAST could be incorporated while accounting for its limitations.
Elonva: A new patient friendly approach in ARTYuzko Olexandr
1. A new drug called Elonva (corifollitropin alfa) provides a patient-friendly approach to ovarian stimulation in ART by reducing the complexity and burden of treatment through shorter stimulation cycles and fewer injections compared to traditional gonadotropins.
2. Studies show Elonva individualizes treatment by optimizing ovarian response and risk of OHSS while maintaining or increasing pregnancy rates.
3. Starting gonadotropin stimulation on cycle day 4 reduces the total dose and duration of stimulation compared to day 2 with no difference in outcomes.
The audience for the media product consists primarily of local residents in West London, including parents, students, older adults, and those who pay taxes. Stories will focus on issues relevant to West London in order to attract this local target audience. Research found that older adults who pay taxes listen more to radio and care about how money is spent and affordable housing. As a result, one story is about the mayor's plans to address London's housing crisis. Teenagers are not the target since they tend to use new social media like Facebook rather than radio or other old media.
Codes and conventions of the local radio newsellierogan
The document discusses several codes and conventions of local radio news, including impact, human interest, proximity, timeliness, novelty, and progress. Stories that have a large impact on listeners or human interest appeal will be prioritized. Proximity refers to reporting on events near the target audience. Timeliness means focusing on recent events. Novel or unusual stories as well as significant progress in different fields can also be newsworthy. Local broadcasts will emphasize stories that interest the specific local audience.
The document discusses emergency ultrasound in trauma patients. It describes how focused abdominal sonography for trauma (FAST) uses 4 views to detect free fluid in trauma patients in 3 minutes or less. Studies show FAST has a sensitivity of 81-98% and specificity of 88-100% for detecting intra-abdominal bleeding. While not showing specific injuries, FAST effectively detects patients needing surgery. The document also discusses using ultrasound to detect hemothorax, pericardial fluid, and penetrating cardiac wounds.
This document is a CV for Alaa ABD El-Khlek Hussein Mekkawy. It provides personal details like name, date of birth, address, contact information, and education history. It then outlines his work experience over the past 28 years in maintenance and installation roles involving electrical, electronic and control systems. It also lists computer skills and training courses attended related to programmable logic controllers, visual inspection machines, and Microsoft software.
This document provides information about a learning activity that teaches the difference between direct and indirect/reported speech. The activity includes concept notes explaining the key differences, such as direct speech using quotation marks while indirect speech does not. It also lists the rules for changing direct speech to indirect speech, such as changing verb tenses and pronouns. Examples are provided to illustrate these changes. The activity also includes exercises for students to practice converting between direct and indirect speech.
The money market can be defined as a market for short-term funds with maturities ranging from overnight to one year. It plays a central role in monetary policy transmission and providing a link between monetary policy, financial markets, and the real economy. The Indian money market has both an organized and unorganized structure, with the organized market consisting of entities like the RBI and scheduled commercial banks, and the unorganized market comprising informal lenders. Key components of the Indian money market include markets for products like treasury bills, commercial paper, certificates of deposit, and various inter-bank markets. The RBI uses tools like open market operations, cash reserve ratio, and repo/reverse repo rates to regulate the money market and implement monetary
An establishing shot is usually the first shot of a scene and shows the audience where the action is taking place through a wide shot or extreme wide shot. An extreme wide shot shows the surroundings so far away that the character is not visible, placing the subject in its environment. Common shots include close-ups that show extreme detail of a person or object, mid shots that show some detail while giving an impression of the whole subject, and two shots that allow viewers to see two characters together.
The document discusses several key points about ovarian follicle development:
- The mechanisms that trigger follicular growth are not fully understood but involve communication between germ and somatic cells via gap junctions and paracrine factors.
- FSH and insulin-like growth factor enhance each other's ability to stimulate follicle cell function. Access of IGF II to receptors is regulated by binding proteins and proteases.
- Serum AMH levels correlate with follicle number and decline as follicles increase in size. AMH levels are elevated in PCOS patients and AMH is a potential marker for diagnosis and management of PCOS as well as assessment of ovarian reserve.
This presentation includes the following:
~physical growth and development
~Nutrition
~Sleep pattern
~Dental health
there are also some additional information on breastfeeding and other infant care skills
Indicators to Monitor the Effect of Nutrients within the Black Sea Iwl Pcu
The Black Sea is an endangered sea shared by Bulgaria, Georgia, Romania, Russia, Turkey & Ukraine. A large basin inhabited by 160 million people from 17 countries. The new GEF assistance is designed to address the three highest priority transboundary problems of the Black Sea (namely eutrophication, discharge of toxic substances including oil, loss of critical benthic habitats and wetlands) and to highlight emerging ones.
Most states in the US require separation distances between livestock production/ manure storage facilities and water resources
Iowa, for example, for liquid manure from animal buildings and manure storages requires 150 -300 meters separation
3. Conclusions
Aneuploidy is fundamental in
determining implantation and IVF
success.
Aneuploidy increases with age.
State of art technologic advances in
genetic screening of embryos using CGH
methodology can select the best
blastocyst for implantation but also
neutralizes the risk of pregnancy loss
with respect to age.
(An alternative to donor egg.)
16. HHooww oolldd iiss ttoooo oolldd ttoo hhaavvee aa
bbaabbyy??
Adriana Iliescu, the 66-y.o. single, journalist who gave birth to
baby girl on Jan. 17, 2005, rests at the Giulesti Maternity
Hospital in Bucharest, Romania.
18. AAggee SSppeecciiffiicc FFeerrttiilliittyy RRaatteess
AAggee GGrroouuppss AACCSS NNCCHHSS
1155--1199 3355..66 4444..44
2200--2244 110099..33 110055..55
2255--2299 111166..00 111144..11
3300--3344 110000..66 9922..55
3355--3399 5500..22 4411..44
4400--4444 1144..22 88..33
Births per 1000 women 15 – 44 years
ACS – American Community Survey
NCHS – National Center for Health Statistics
Retrieved October 12, 2007 from http://www.census.gov/population/www/socdemo/fertility/slideshow/ACS-MF/
TextOnly/slide23.html
19. Retrieved October 12, 2007 from http://www.census.gov/population/www/socdemo/fertility/slideshow/ACS-MF/
slide23.html
- 50%
- 72%
20. Age 30, PR 44.5%, LB 38.6%
Age 35, PR 38.3%, LB 32.2%
Age 40, PR 23.0%, LB 16.1%
Age 43, PR 10.1%, LB 5.5%
Age 45, PR 4.3%, LB 1.2%
Age 47, PR 3.3%, LB 0%
Retrieved October 12, 2007 from http://www.cdc.gov/ART/ART2004/sect2_fig5-15.htm#12
21. Age 30, Loss 10.8 %
Age 35, Loss 13.5 %
Age 40, Loss 27.8 %
Age 43, Loss 45.5 %
Age 43, Loss 58.8 %
Retrieved October 12, 2007 from http://www.cdc.gov/ART/ART2004/sect2_fig5-15.htm#14
22. Retrieved October 12, 2007 from http://www.cdc.gov/ART/ART2004/sect4_fig40-44.htm#f41
28. Arrested at
Prophase MI
Arrested at
Metaphase MII
LH Surge
Retrieved October 13, 2007 from http://fig.cox.miami.edu/~cmallery/150/devel/c7.46.11.oogenesis.jpg
29. LH Surge Resumption of Meiosis
How
efficient is
the process?
Declines with
advancing age
Retrieved October 13, 2007 from http://fig.cox.miami.edu/~cmallery/150/devel/c7.46.11.oogenesis.jpg
32. MMeeaassuurreemmeenntt ooff OOvvaarriiaann
RReesseerrvvee
n CCDD 33 FFSSHH aanndd EEssttrraaddiiooll
n CClloommiipphheennee CCiittrraattee CChhaalllleennggee TTeesstt
((CCCCCCTT))
n IInnhhiibbiinn--BB
n BBaassaall AAnnttrraall FFoolllliiccllee CCoouunntt
n AAMMHH
n OOvvaarriiaann VVoolluummee
36. BBaassaall FFSSHH vvss.. CClloommiipphheennee
CChhaalllleennggee TTeesstt
Abnormal Day 3 FSH
3.4 – 225 times more likely to
be seen in a woman who cannot
conceive than one who can
Abnormal CCCT
6.7 – 612 times more likely to
be seen in a woman who cannot
conceive than one who can
Jain T, Soules MR, Collins JA. Fertil Steril 2004;82:180–5
38. DDaayy 33 FFSSHH
16. I van Rooij, L Bancsi, F Broekmans, C Looman, J Habbema, E te Velde, Women older than 40 years
of age and those with elevated follicle-stimulating hormone levels differ in poor response rate and
embryo quality in in vitro fertilization, Fertil Steril (2003) pp. 482-8.
47. BBaassaall AAnnttrraall FFoolllliiccllee CCoouunntt
Abnormal AFC
1.5 – 19.7 times more likely to
be seen in a woman with a poor
response to treatment compared
to one who responds well
Hendricks DJ, et al. Fertil Steril 2005;83:291–301