Induced abortion

 Objective: To provide an updated guideline for the surgical and medical termination of pregnancy. This guideline discusses and compares the safety and effectiveness of currently available pregnancy termination procedures.

14p uocvongxua05 28-07-2015 17 2   Download

The termination of a pregnancy medically or operatively before fetal viability; definition of viability varies from state to state A S S E S S M E N T O F T H E PAT I E N T Abortion may not be denied in first 3 months of pregnancy in any state. Physical assessment is crucial before an elective abortion: Ultrasound should be performed if there is a discrepancy between dates and uterine size. Patient’s blood type and Rh type must be evaluated; if Rh negative, RhoGAM should be administered prophylactically. Careful patient counseling should be performed. ...

36p lananhanh123 27-08-2011 32 2   Download

Vaccinating girls and women before sexual debut, and therefore before exposure to HPV infection, provides an excellent opportunity to decrease the incidence of cervical cancer over time. As these vaccines protect against HPV types responsible for about 70% of cervical cancers, there will be a continued need to screen women who have been vaccinated as well as those who have not been vaccinated.

7p taisaokhongthedung 09-01-2013 16 1   Download

Mobile advertising is a rapidly growing sector providing brands, agencies and marketers the opportunity to connect with consumers beyond traditional and digital media directly on their mobile phones. This document is an overview on the mobile media channels available to advertisers today, including the benefits offered by each, and considerations to use in selecting and optimizing mobile advertising campaigns This document is adjunct to the MMA Mobile Advertising Guidelines, which provide technical specifications, global formats, guidelines and best practices for each mobile channel.

27p doiroimavanchuadc 06-02-2013 56 8   Download

Two major approaches to cryopreservation are known, i.e., conventional freeze-thaw procedures and vitrification, which is defined as a glass-like solidification (Karlsson & Toner, 1996). While freeze-thaw procedures minimize the probability of intracellular ice formation, vitrification attempts to prevent ice formation throughout the entire sample during the cooling and warming process (Kuleshova et al., 2007). Recently, the potential of vitrification has been tested for tissue-engineered constructs.

364p kmkmkmkmkm 08-09-2012 32 7   Download

The insurance sector is an infrastructural pillar of the financial services sector and the economy as a whole. It plays a key role in economic development. Several empirical studies suggest a strong correlation between the development of financial intermediaries and economic growth. According to Patrick (1966) 3 there are two, possibly coexisting, relationships between the financial sector and economic growth.

36p thangbienthai 27-11-2012 42 7   Download

Companies are required to prepare their financial statements each year as per the provisions of the Companies Act and have them audited by a practicing Chartered Accountant or a firm of Chartered Accountants registered with the Institute of Chartered Accountants of India. The Companies Act permits companies to choose their financial year end. The audited financial statements must be approved by the shareholders in an annual meeting of the shareholders, which should be convened by the company normally within six months from the end of the financial year.

45p quaivattim 01-12-2012 31 6   Download

Research has suggested a link between nutritional deficiencies in early (including prenatal) life, and the development of chronic diseases—cardiovascular disease, diabetes mellitus, hypertension, stroke, cancer, and osteoporosis, among others—some decades later (World Health Organization 2000a, 2000b; Jacoby 2004). A possible link between early nutritional deficiencies and obesity has also been suggested, and it remains an area of ongoing research (Pan American Health Organization 2003).

23p connicquy 20-12-2012 34 6   Download

It is clear from the studies cited below, that good bedside manner and professionalism are extremely important to patients. Plunkett and Midland (2000) found that “well-educated” Caucasians (from Chicago, Michigan, US) placed an emphasis on communication skills when selecting an obstetrician. In contrast, patients who were to undergo surgery decided the surgical reputation of the OB/GYN was more important than bedside manner.

160p wqwqwqwqwq 20-07-2012 38 5   Download

Living arrangements, particularly overcrowded conditions and a lack of privacy, have been associated with conflict within families. Although abuse can occur when the abuser and the older person suffering abuse live apart, the older person is more at risk when living with the caregiver. The early theories on the subject also sought to associate dependency with increased risk of abuse.

8p thankinhphanliet 01-01-2013 27 5   Download

In contrast, the final essay certainly carries the most interesting and audacious research of the book. There Bonfand reaches the deepest confrontation between cinema and painting by discussing the limits of their relation: when cinema, looking for its true essence, rediscovers at the same time the origins of painting and so is aimed to produce images ‘not made by the hand of man’: acheiropoietos images.

24p khanhchilam 01-04-2013 24 5   Download

In recent years, however, major changes have greatly diminished the city’s ability to both retain and create a sizable middle class. Even as the inflow of new arrivals to New York has surged to levels not seen since the 1920s, the cost of living has spiraled beyond the reach of many middle class individuals and, particularly, families. Increasingly, only those at the upper end of the middle class, who are affluent enough to afford not only the sharply higher housing prices in every corner of the city but also the steep costs of child care and private schools, can afford...

77p doidieumuonnoi 11-06-2013 36 5   Download

It is estimated that transitioning to a low-carbon and climate resilient economy and more broadly „greening growth‟ over the next 20 years will require significant investment and consequently private sources of capital on a much larger scale than previously - particularly given the current state of government finances. There is already international agreement on the need to increase financing for climate mitigation and adaptation – with international financing commitments already having been made.

34p quaivatdo 19-11-2012 30 4   Download

Mehta and Shahpar (2004) present a cost-effectiveness analysis of household air pollution control interventions by WHO regions with significant SFU prevalence. Benefits are healthy years gained from reduced risk of ALRI in children and COPD in adult females and males based on regional data from WHO. An improved stove is assumed to reduce SFU pollution exposure and health effects by 75 percent. Per household annualized cost of cooking systems range across regions from $40-90 for LPG, $10-20 for kerosene, and $3-24 for improved stove ($3-5 in Africa and Asia).

61p saimatkhauroi 01-02-2013 27 4   Download

There is no consensus on the definition of the financial cycle. In what follows, the term will denote self-reinforcing interactions between perceptions of value and risk, attitudes towards risk and financing constraints, which translate into booms followed by busts. These interactions can amplify economic fluctuations and possibly lead to serious financial distress and economic dislocations.

427p mebachano 01-02-2013 29 4   Download

At the time of writing, many of the larger retailers are re-engineering their business processes, and they also re-consider their organisation. Due to improvements in infrastructure and logistics (e.g. the just in time principle) as well as information technology advances (e.g. through Electronic Data Interchange; EDI), many retailers are currently centralising their sourcing policies. Table 10 shows recent developments in this respect, while table 11 gives an outlook on current trends and the expected evolution....

13p nhacchovina 22-03-2013 35 4   Download

When you evaluate contractors on the basis of cost alone, you are unlikely to end up with the best-qualified firm, and you put the sculpture at great risk. If you are unable to obtain an exception to the sealed-bid method, be sure that the project specifications are clear and detailed and describe every aspect of the work involved. Require a list of all projects completed within the past several years. Ask each bidder to describe the qualifications of all personnel who will be involved in the project, not just the principals.

10p yasuyidol 01-04-2013 39 4   Download

Globalization is taking hold of all sectors of society. Not surprisingly, many residency applicants are interested in global health training opportunities during their graduate medical education. Meanwhile, residency programs grapple with the challenges of establishing and expanding global health programming. The past decade has witnessed a rise in number of non-profit organizations dedicated to global health exposure for future physicians. Child and Family Health International, Doctors for Global Health, and Community for Children are a few examples.

96p chiecxedien 02-01-2013 30 3   Download

This guideline does not include recommendations covering every detail of the recognition and initial management of ovarian cancer. Instead this guideline has tried to focus on those areas of clinical practice (i) that are known to be controversial or uncertain; (ii) where there is identifiable practice variation; (iii) where there is a lack of high quality evidence; or (iv) where NICE guidelines are likely to have most impact. More detail on how this was achieved is presented later in the section on ‘Developing Clinical Evidence Based Questions’.

0p khongmuonnghe 07-01-2013 22 3   Download

In Germany, the cheque has never become as important as it has in many other countries of the western world. In terms of numbers it accounts for a mere 1.3% of all cashless transactions, in terms of value just 2.7%. It is used for only 0.1% of all payments at retailers. On account of the increase in more efficient debit card payments, the importance of the cheque is steadily decreasing. A further decline in cheque payments in retail business can be expected as the eurocheque guarantee ceased at the end of the year 2001. Although the number and value of...

69p enterroi 02-02-2013 16 3   Download