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Routine Prenatal Care - Institute for Clinical Systems Improvement
Routine Prenatal Care - Institute for Clinical Systems Improvement

... constituted medical group, the ICSI Health Care Guideline may be used by the medical group in any of the following ways: ...
Drug Principles in Lactation
Drug Principles in Lactation

... days 2–5 after childbirth, which is the start of stage II lactogenesis. The drop in progesterone after delivery stimulates significantly larger volumes of milk production. Prolactin concentrations are elevated with reduced progesterone concentrations, and oxytocin is secreted for milk letdown. Mater ...
WHO. Guidelines for the screening, care and treatment of person
WHO. Guidelines for the screening, care and treatment of person

... have been infected with the hepatitis C virus (HCV), of whom 350 000 die each year. One third of those who become chronically infected are predicted to develop liver cirrhosis or hepatocellular carcinoma. Despite the high prevalence of disease, most people infected with the virus are unaware of thei ...
Clinical Studies
Clinical Studies

... And in yet other countries, the availability of highly active antiretroviral therapy (HAART) and “AIDS battle fatigue” have led to reversals in gains achieved earlier with sexual behavior change, resulting in increases in HIV infection rates.2 As HAART is made increasingly available in Africa and ot ...
The Copper Intrauterine Device as Long
The Copper Intrauterine Device as Long

... varies regarding measurement of BP and pulse rate before and after IUD insertion but the CEU advises that a postinsertion measurement of pulse rate is good practice. When bradycardia is associated with clinical signs and symptoms (pallor, light-headedness, nausea) BP should also be measured and reco ...
Varicella Zoster Virus Infection in Pregnancy
Varicella Zoster Virus Infection in Pregnancy

... occurrence of at least 100 skin lesions are well known risk factors for the development of VZV pneumonia (Harger et al., 2002). The mortality rate in untreated pregnant women is as high as 40% (Haake et al., 1990), therefore varicella pneumonia in pregnancy is considered a medical emergency. However ...
working group report on high blood pressure in pregnancy
working group report on high blood pressure in pregnancy

... diagnostic criteria that differ from one document to the other and contrast with those below. They include recommendations to eliminate edema from diagnostic criteria, to abandon the use of changes in blood pressure as diagnostic,1,7 to use only diastolic pressures,7 and to add systemic changes to p ...
"Opioid Overdose Prevention and Management" for injecting drug
"Opioid Overdose Prevention and Management" for injecting drug

... verdose occurs when a person takes opioid drugs or opioids in combination with other drugs, in quantities that the body cannot handle. As a result, the brain is not able to carry out normal body functions. The ...
reduced by a change in paternity. For women with INTRODUCTION
reduced by a change in paternity. For women with INTRODUCTION

... often acid base and electrolyte imbalance. Hyperemesis gravidarum symptoms that persist into the third trimester are associated with a higher incidence of low-birth-weight infants24. A mild to moderate ketonuria may be seen which reflects metabolism of fatty acids due to inadequate caloric and prote ...
Artificial Insemination
Artificial Insemination

... sperm reaching the egg should improve fertility whenever decreased numbers and motility of normally functioning sperm is the primary problem. Unfortunately, the pregnancy rates after partner IUI for the treatment of severe male factor infertility have been disappointing.12 This is probably because m ...
Endocrine Emergencies: Adrenal Crisis
Endocrine Emergencies: Adrenal Crisis

... ladder initiated  Ongoing hypotension  norepi & dopamine infusions  Resolving hemorrhage after 2u PRBC & oxytocin ...
Integrating Peers Into Multidisciplinary Teams
Integrating Peers Into Multidisciplinary Teams

... I thank our team at Cicatelli Associates Inc. Barbara Cicatelli, MA, President and CEO of Cicatelli Associates Inc., provided the opportunity for my participation in this exciting project. Barbara’s support and encouragement were vital elements of this achievement. Rusty Chambliss, BA, Cicatelli Ass ...
Common Questions About the Evaluation of Acute Pelvic Pain
Common Questions About the Evaluation of Acute Pelvic Pain

... Acute pelvic pain is defined as lower abdominal or pelvic pain of less than three months’ duration. It is a common presentation in primary care. Evaluation can be challenging because of a broad differential diagnosis and because many associated signs and symptoms are nonspecific. The most common dia ...
Curriculum Vitae - Researchers @ Brown
Curriculum Vitae - Researchers @ Brown

... Stein MD, Mulvey KP, Plough A, Samet JH. The functioning and well being of persons who seek treatment for drug and alcohol use. J Sub Abuse 1998;10:75-9. ...
Prevention and Control of Occupational Infections in Health Care
Prevention and Control of Occupational Infections in Health Care

... independent of an occupational exposure. To assist the user to identify a true exposure or infection in order to clarify management, Criteria to Confirm the Diagnosis have been provided with each disease. When applicable, disease specific recommendations are made. Cited evidence is based on literatu ...
HIV/AIDS Guidelines
HIV/AIDS Guidelines

... risks of therapy and the importance of adherence (AIII). Patients may choose to postpone therapy, and providers, on a case-by-case basis, may elect to defer therapy on the basis of clinical and/or psychosocial factors. ...
Congenital abnormalities
Congenital abnormalities

... 13-20 weeks (if doctor in consultation with mother is of the opinion that-) o Continuation of pregnancy a risk to mother’s physical/mental health o Fetus would suffer severe physical/mental abnormality > 20 weeks (if a doctor in consultation with another doctor/midwife is of the opinion that-) o Pre ...
Pharma Therap 92
Pharma Therap 92

... In view of this, AIDS is subjected here to a critical analysis aimed at identifying a cause that can correctly predict its epidemiology, pathology and progression. 2. Definition of AIDS 2.1. AIDS: 2 Epidemics, Sub-Epidemics and 25 Epidemic-Specific Diseases AIDS includes 25 previously known diseases ...
Epidemiology of Pneumocystis infection in Human
Epidemiology of Pneumocystis infection in Human

... infant granddaughter has been recently provided [37]. Pneumocystis primary infection has been presumed to be an asymptomatic or mild nonspecific disease, however recent reports indicate that it can present clinically as a self-limiting upper or lower acute respiratory tract infection [17,40,42]. In ...
ANTENATAL CARE
ANTENATAL CARE

... 3. Infection. Failure to observe clean birth protocols can result to infections that adversely affect the health of the mother and baby. 4. Obstructed labor. This is often due to mismanaged labor and cephalopelvic disproportion. Women who have prolonged or obstructed labor can develop vesicovaginal ...
Guideline: Peripherally inserted central venous
Guideline: Peripherally inserted central venous

... • 70% alcohol solution (including alcohol-impregnated swabs) should not be used as it has no residual antimicrobial activity on the skin. • The solution should be applied vigorously by the clinician to an area of skin approximately 30cm in diameter, in a circular motion beginning in the centre of th ...
sexual health issue brief
sexual health issue brief

... oral sex. A person with a genital HSV-1 infection can transmit the virus to a partner during penilevaginal or penile-anal intercourse. However, because genital HSV-1 infections tend to recur less frequently than HSV-2, genital to genital transmission of HSV-1 is thought to be less likely than genita ...
Male circumcision under local anaesthesia Version 3.1(Dec09) Page i
Male circumcision under local anaesthesia Version 3.1(Dec09) Page i

... adjusted for cultural and social factors associated with male circumcision, it was not clear from these studies whether promoting male circumcision among men who would not otherwise be circumcised would result in a lower incidence of HIV infection. To address this question, three randomized controll ...
MALARIA
MALARIA

... In 1997, malaria risk of varying degrees existed in 100 countries and territories. In 92 of these, transmission included the malignant (Plasmodium falciparum) form of the disease. Over 40% of the world population lived in areas with malaria risk. As reported in 1996, the global malaria situation is ...
Guidelines for Preventing the transmission of mycobacterium
Guidelines for Preventing the transmission of mycobacterium

... Transmission of M. tuberculosis is a recognized risk to patients and HCWs in healthcare facilities. Transmission is most likely to occur from patients who have unrecognized pulmonary or laryngeal TB, are not on effective anti-TB therapy, and have not been placed in TB isolation. Several recent TB ou ...
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HIV and pregnancy

HIV/AIDS in pregnancy has a risk of causing mother-to-child transmission. However, the risk is decreased substantially with preventive measures such as anti-HIV medications during pregnancy and childbirth as well as to the child after delivery, and that mothers with HIV avoid breastfeeding their children.In the United States and Europe, fewer than 2 babies in 100 born to mothers with HIV are infected with the virus. In 2015, Cuba became the first country in the world to eradicate mother-to-child transmission of HIV.
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