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Vacuum aspiration

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https://www.readbyqxmd.com/read/29351313/effectiveness-and-safety-of-early-medication-abortion-provided-in-pharmacies-by-auxiliary-nurse-midwives-a-non-inferiority-study-in-nepal
#1
Corinne H Rocca, Mahesh Puri, Prabhakar Shrestha, Maya Blum, Dev Maharjan, Daniel Grossman, Kiran Regmi, Philip D Darney, Cynthia C Harper
BACKGROUND: Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public health facilities, by trained auxiliary nurse-midwives in Nepal. METHODS: Auxiliary nurse-midwives were trained to provide medication abortion through twelve pharmacies and public facilities as part of a demonstration project in two districts...
2018: PloS One
https://www.readbyqxmd.com/read/29317229/factors-associated-with-participant-and-provider-pain-rating-during-office-based-first-trimester-vacuum-aspiration
#2
Johana D Oviedo, N Tanya Ohly, Jacqueline M Guerrero, Paula M Castaño
OBJECTIVE: To describe factors associated with reported pain and assess correlations between participant and provider pain assessments during first trimester vacuum aspiration. STUDY DESIGN: Participants and providers in a trial evaluating music for pain reduction reported procedure-related pain using a 100 mm visual analog scale. RESULTS: The mean participant-reported maximum pain was 65.9±23.0 compared to 41.3±22.0 by provider assessment...
January 6, 2018: Contraception
https://www.readbyqxmd.com/read/29282060/effects-of-gestational-age-and-the-mode-of-surgical-abortion-on-postabortion-hemorrhage-and-fever-evidence-from-population-based-reproductive-health-survey-in-georgia
#3
Ekaterine Pestvenidze, Nino Lomia, Nino Berdzuli, Lia Umikashvili, Tamar Antelava, Babill Stray-Pedersen
BACKGROUND: Every year around 50 million unintended pregnancies worldwide are terminated by induced abortion. Even in countries, where it is legalized and performed in a safe environment, abortion carries some risk of complications for women. Findings of researchers on the factors that influence the sequelae of abortion are controversial and inconsistent. This study evaluates the effects of gestational age and the method of surgical abortion (i.e., dilatation and curettage and vacuum aspiration) on the most common abortion complications: postabortion hemorrhage and fever...
December 28, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29261539/the-aspire-to-excellence-program-a-global-effort-to-improve-the-quality-of-medical-education
#4
Dan Hunt, Debra Klamen, Ronald M Harden, Farzand Ali
Publications and organizations ranking medical schools rely heavily on schools' research-oriented and grant-success data because those are the publicly available data. To address the vacuum of evidence for medical education quality, in 2012 the Association of Education in Europe (AMEE) introduced an initiative entitled A Schools Programme for International Recognition of Excellence in Education (ASPIRE) awards. ASPIRE panels of international experts in specific areas of medical education have developed internationally peer-based criteria to benchmark excellence in social accountability, student engagement, student assessment, faculty development, and simulation; they plan to publish criteria on curriculum design and development in 2018...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29261504/service-delivery-correlates-of-choosing-short-acting-contraceptives-at-the-time-of-uterine-evacuation-in-bangladesh
#5
Erin Pearson, Kamal Kanti Biswas, Rezwana Chowdhury, Kathryn L Andersen, Sharmin Sultana, S M Shahidullah, Caroline Moreau, Michele R Decker
CONTEXT: The World Health Organization recommends that contraceptives be offered on the day of a uterine evacuation procedure (i.e., induced abortion or postabortion care for an incomplete abortion). Short-acting methods can be initiated on the day of the uterine evacuation, regardless of procedure type. METHODS: Survey data from a facility-based sample of 479 Bangladeshi women aged 18-49 who did not intend to become pregnant in the four months following their uterine evacuation were used to examine women's choice of short-acting contraceptive methods (pill, condoms or injectable)...
June 1, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29250974/moistening-the-new-vaginal-misoprostol-tablets-does-it-increase-the-efficacy-of-cervical-priming-before-manual-vacuum-aspiration-in-first-trimester-miscarriage-a-randomised-clinical-trial
#6
Ricardo Pedrini Cruz, Mariana Hollmann Scheffler, Daniel Mendes da Silva, Ernesto de Paula Guedes Neto, Ricardo Francalacci Savaris
OBJECTIVES: The primary objective of our study was to ascertain whether moistening the Brazilian formulation of vaginal misoprostol tablets increases cervical dilation before manual vacuum aspiration (MVA), compared with use of dry misoprostol, in first-trimester miscarriage. The secondary objective was to ascertain whether there was any correlation between vaginal pH and the degree of cervical dilation using a moistened or dry misoprostol tablet. METHODS: In a single-centre, double-blind, randomised trial, 46 patients with first-trimester miscarriage were randomly allocated to treatment with dry or moistened (with 200 µl distilled water) 2 × 200 μg misoprostol tablets...
December 18, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29238620/angiovac-system-used-for-vegetation-debulking-in-a-patient-with-tricuspid-valve-endocarditis-a-case-report-and-review-of-the-literature
#7
Hossam Abubakar, Ahmed Rashed, Ahmed Subahi, Ahmed S Yassin, Mohamed Shokr, Mahir Elder
AngioVac is a vacuum-based device approved in 2014 for percutaneous removal of undesirable materials from the intravascular system. Although numerous reports exist with regard to the use of the AngioVac device in aspiration of iliocaval, pulmonary, upper extremity, and right-sided heart chamber thrombi, very few data are present demonstrating its use in treatment of right-sided endocarditis. In this case report, we describe the novel device used in debulking a large right-sided tricuspid valve vegetation reducing the occurrence of septic embolisation and enhancing the efficacy of antibiotics in clearance of bloodstream infection...
2017: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29224890/advances-in-breast-intervention-where-are-we-now-and-where-should-we-be
#8
REVIEW
W B G Sanderink, R M Mann
In the past four decades, a variety of methods for minimal or non-invasive diagnosis and treatment of breast cancer have been introduced. Although breast imaging has become more and more specific for diagnosis, specimen biopsy with histopathological confirmation is still necessary. Core-needle biopsy under ultrasound guidance is the appropriate first choice for the diagnosis of most lesions. Fine-needle aspiration is of interest for identification of the presence of metastatic disease in abnormal lymph nodes...
December 7, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29223237/effect-of-chamber-stabilization-software-on-efficiency-and-chatter-in-a-porcine-lens-model
#9
Alex J Wright, Rhett S Thomson, Ashlie A Bernhisel, Brian Zaugg, William R Barlow, Jeff H Pettey, Randall J Olson
PURPOSE: To evaluate the effects of the use of programmable chamber stabilization software (Chamber Stabilization Environment) settings on efficiency and chatter in a porcine lens model. SETTING: John A. Moran Eye Center Laboratory, University of Utah, Salt Lake City, Utah, USA. DESIGN: Experimental study. METHODS: Porcine eyes were dissected and the lenses extracted. The lenses were then hardened and processed for the experiment...
November 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29205140/autologous-fat-transplantation-for-secondary-breast-reconstruction-our-experience
#10
F Simonacci, M P Grieco, N Bertozzi, E Raposio
BACKGROUND: Autologous fat transplantation is used after breast reconstruction to improve the breast profile. There are a variety of different methods used for fat harvesting, preparation, and reinjection. This study describes the specific techniques we used in this series of autologous fat transplantations in breast reconstruction patients and reports their outcomes compared with other studies in the literature. PATIENTS AND METHODS: At the University Hospital of Parma between May 2012 and December 2016, we performed 53 autologous fat transplantations for secondary breast reconstruction patients with an average age of 49 years (range: 34-65 y)...
May 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29201423/patient-satisfaction-and-wait-times-following-outpatient-manual-vacuum-aspiration-compared-to-electric-vacuum-aspiration-in-the-operating-room-a-cross-sectional-study
#11
Laura E Dodge, Lisa G Hofler, Michele R Hacker, Sadia Haider
Background: Outpatient manual vacuum aspiration (MVA) is a safe and equally effective alternative to electric vacuum aspiration (EVA) in the operating room. This project was conducted to determine whether outpatient MVA expedites care while maintaining patient satisfaction. Methods: A cross-sectional study of a convenience sample of patients undergoing surgical management of spontaneous abortion, induced abortion, or retained products of conception with either outpatient MVA under local anesthesia or EVA in the operating room was conducted...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29171161/negative-pressure-wound-therapy-in-complex-cranio-maxillofacial-and-cervical-wounds
#12
Giorgio Novelli, Francesco Daleffe, Gisella Birra, Gabriele Canzi, Fabio Mazzoleni, Pietro Boni, Clara Maino, Carlo Giussani, Davide Sozzi, Alberto Bozzetti
The care and the management of the healing of difficult wounds at the level of the skull-facial face many problems related to patient compliance and the need to perform multiple dressings, with long periods of healing and, occasionally, a very long hospitalisation period. The introduction and evolution of negative pressure wound therapy (NPWT) in the treatment of difficult wounds has resulted in better healing, with a drastic reduction in terms of time and biological costs to the patient and cost to the health care system...
November 23, 2017: International Wound Journal
https://www.readbyqxmd.com/read/29151420/-clinical-application-of-vsd-negative-pressure-aspiration-and-detoxification-in-severe-snake-bite
#13
Zhipeng Zheng, Gonglei Chen, Wei Liang, Xu Ji, Jing Yin, Meiling Liu, Wentao Chen, Yigang Yu, Wei Chen
OBJECTIVE: To assess the clinical efficacy of vacuum sealing drainage (VSD) in the treatment of mixed poisonous snake bite. METHODS: A prospective study was conducted. Forty-three snake bite patients by mixed poisonous snakes admitted to Department of Emergency of the 175th Hospital of People's Liberation Army from February 2015 to February 2017 were enrolled. All patients were divided into routine treatment group (n = 20) and VSD treatment group (n = 23) according to whether early incision decompression and using the VSD technique...
November 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29146632/the-evolution-of-a-one-stop-outpatient-manual-vacuum-aspiration-service-for-termination-of-pregnancy
#14
Joanna Speedie, Stephen Robson
No abstract text is available yet for this article.
November 16, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/29136148/legal-but-limited-abortion-service-availability-and-readiness-assessment-in-nepal
#15
Suzanne O Bell, Linnea Zimmerman, Yoonjoung Choi, Michelle J Hindin
The government of Nepal revised its law in 2002 to allow women to terminate a pregnancy up to 12 weeks gestation for any indication on request, and up to 18 weeks if certain conditions are met. We evaluated the readiness of facilities in Nepal to provide three abortion services, manual vacuum aspiration (MVA), medication abortion (MA) and post-abortion care (PAC), using the service availability and readiness assessment (SARA) framework. The framework consists broadly of three domains; service availability, general service readiness and service readiness specific to individual services (i...
November 10, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29127194/dump-the-pump-manual-aspiration-thrombectomy-mat-with-a-syringe-is-technically-effective-expeditious-and-cost-efficient
#16
Bradley A Gross, Ashutosh P Jadhav, Tudor G Jovin, Brian Thomas Jankowitz
INTRODUCTION: Syringe aspiration for manual aspiration thrombectomy (MAT) is a cost- and time-efficient alternative to an aspiration pump with likely similar efficacy. It is counterintuitive to expect the pump to perform better than direct vacuum with a syringe, as the pump must deliver vacuum additionally through a canister and meters of tubing. OBJECTIVE: To present in vitro and clinical results of MAT with a syringe. METHODS: An in vitro analysis was performed comparing vacuum pressures generated by syringe aspiration and with pump aspiration...
November 10, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29118797/comparison-of-vacuum-pressures-and-forces-generated-by-different-catheters-and-pumps-for-aspiration-thrombectomy-in-acute-ischemic-stroke
#17
Michael T Froehler
Background: Direct aspiration thrombectomy is an increasingly utilized technique in endovascular stroke treatment that relies on vacuum and suction force to remove the clot. This report assesses the pressures and forces generated by different catheters and pumps. Methods: Vacuum pressures were measured using a vacuum gauge for several catheters (Stryker Catalyst6, Penumbra Ace 064, Medtronic Arc 061, and Penumbra 041) and pumps (Penumbra pump, 60-mL syringe, and the ASPIRE device)...
October 2017: Interventional Neurology
https://www.readbyqxmd.com/read/29065922/persisting-demand-and-supply-gap-for-maternal-and-newborn-care-in-eastern-uganda-a-mixed-method-cross-sectional-study
#18
Rornald Muhumuza Kananura, Suzanne Namusoke Kiwanuka, Elizabeth Ekirapa-Kiracho, Peter Waiswa
BACKGROUND: The slow progress in reducing maternal and newborn death in low and middle-income countries is attributed to both demand and supply-side factors. This study assessed the changes in maternal and newborn services in health facilities as well as demand for maternal and newborn health services in Eastern Uganda. METHODS: The health assessment data were collected in August 2013 and September 2015 in the districts of Kamuli, Pallisa, and Kibuku. We purposively collected data on the availability of services from 40 health facilities that provided maternal and newborn services...
October 24, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29059454/new-evidence-to-guide-ectopic-pregnancy-diagnosis-and-management
#19
Paula C Brady
Importance: Ectopic pregnancy is a leading source of morbidity and mortality in pregnancy, accounting for 1% to 2% of all pregnancies. Timely diagnosis and management of these abnormal gestations are vital to patient safety. Objective: The objective of this study was to describe recent evidence in the risk factors, diagnosis, and management of ectopic pregnancy. Evidence Acquisition: Comprehensive review of the published literature. Results: Recent literature describes newly identified risk factors for ectopic pregnancy, particularly those specific to assisted reproduction...
October 2017: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/29040004/building-bridges-a-case-for-community-health-worker-provision-of-misoprostol-only-abortion-in-the-first-trimester
#20
Claire Tebbets, Diana Santana, José Ros Silvestre, Dee Redwine
INTRODUCTION: The consequences of unsafe abortion are devastating to women, their families, and their communities. Medication abortion presents an important alternative to harmful self-induction practices and surgical intervention under questionable circumstances. In settings where mifepristone is unavailable, the use of misoprostol alone is a safe and effective option for terminating an unwanted pregnancy. Studies have demonstrated the safety and efficacy of administration of misoprostol by community health workers (CHW) for indications such as postpartum hemorrhage and treatment of incomplete abortion...
October 17, 2017: Journal of Women's Health
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