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Vacuum aspiration

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https://www.readbyqxmd.com/read/27859463/how-many-procedures-does-it-take-success-of-a-cvs-training-program-for-maternal-fetal-medicine-fellows
#1
Alexis C Gimovsky, Sindy C Moreno, Sara Nicholas, Amanda Roman, Stuart Weiner
OBJECTIVES: To quantify the learning curve for a training program for Maternal Fetal Medicine (MFM) fellows in obtaining successful transvaginal chorionic villus sampling (CVS) results in women with early pregnancy failure (EPF). METHODS: Retrospective observational cohort study of transvaginal CVS and subsequent manual vacuum aspiration (MVA) performed by MFM fellows. CVS samples were sent for karyotype, and products of conception (POC) were sent if CVS sample did not yield a result...
November 16, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27810130/-surgical-methods-of-abortion
#2
T Linet
OBJECTIVE: A state of the art of surgical method of abortion focusing on safety and practical aspects. MATERIAL AND METHODS: A systematic review of French-speaking or English-speaking evidence-based literature about surgical methods of abortion was performed using Pubmed, Cochrane and international recommendations. RESULTS: Surgical abortion is efficient and safe regardless of gestational age, even before 7 weeks gestation (EL2). A systematic prophylactic antibiotics should be preferred to a targeted antibiotic prophylaxis (grade A)...
October 31, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27743769/correlates-of-contraceptive-use-four-months-post-abortion-findings-from-a-prospective-study-in-bangladesh
#3
Erin Pearson, Kamal Kanti Biswas, Kathryn L Andersen, Caroline Moreau, Rezwana Chowdhury, Sharmin Sultana, S M Shahidullah, Pamela J Surkan, Michele R Decker
OBJECTIVES: Using the social determinants framework as a guide, this study sought to understand correlates of post-abortion contraceptive use at the individual, family and abortion service delivery levels. STUDY DESIGN: This prospective study assessed correlates of contraceptive use four months post-abortion and timing of initiation using a facility-based sample of 398 abortion clients who selected pills, condoms, injectables or no method immediately following the procedure...
October 12, 2016: Contraception
https://www.readbyqxmd.com/read/27669170/spatial-variations-in-dengue-transmission-in-schools-in-thailand
#4
Pitcha Ratanawong, Pattamaporn Kittayapong, Phanthip Olanratmanee, Annelies Wilder-Smith, Peter Byass, Yesim Tozan, Peter Dambach, Carlos Alberto Montenegro Quiñonez, Valérie R Louis
BACKGROUND: Dengue is an important neglected tropical disease, with more than half of the world's population living in dengue endemic areas. Good understanding of dengue transmission sites is a critical factor to implement effective vector control measures. METHODS: A cohort of 1,811 students from 10 schools in rural, semi-rural and semi-urban Thailand participated in this study. Seroconversion data and location of participants' residences and schools were recorded to determine spatial patterns of dengue infections...
2016: PloS One
https://www.readbyqxmd.com/read/27616307/-it-s-a-very-complicated-issue-here-understanding-the-limited-and-declining-use-of-manual-vacuum-aspiration-for-postabortion-care-in-malawi-a-qualitative-study
#5
Sinead Cook, Bregje de Kok, Maria Lisa Odland
Malawi has one of the highest maternal mortality ratios in the world. Unsafe abortions are an important contributor to Malawi's maternal mortality and morbidity, where abortion is illegal except to save the woman's life. Postabortion care (PAC) aims to reduce adverse consequences of unsafe abortions, in part by treating incomplete abortions. Although global and national PAC policies recommend manual vacuum aspiration (MVA) for treatment of incomplete abortion, usage in Malawi is low and appears to be decreasing, with sharp curettage being used in preference...
September 10, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27599992/a-dual-biotic-system-for-the-concurrent-delivery-of-antibiotics-and-probiotics-in-vitro-ex-vivo-in-vivo-and-in-silico-evaluation-and-correlation
#6
Mershen Govender, Yahya E Choonara, Sandy van Vuuren, Pradeep Kumar, Lisa C du Toit, Kennedy Erlwanger, Viness Pillay
PURPOSE: A delayed release bio-polymeric Dual-Biotic system has been extensively evaluated in this study to overcome the therapeutic issue of probiotic killing due to incorrect administration with the antibiotic. METHODS: In vitro and ex vivo release and characterization studies have been undertaken on the Dual-Biotic system. In vivo analyses utilizing a Large White pig model were also performed with commercial products used as a comparison. Intestinal fluid for probiotic quantification was aspirated using a surgically implanted intestinal cannula with Lactobacillus acidophilus cell counts determined through luminescence and inoculation onto Lactobacilli-specific agar...
September 6, 2016: Pharmaceutical Research
https://www.readbyqxmd.com/read/27583448/clinical-outcomes-and-women-s-experiences-before-and-after-the-introduction-of-mifepristone-into-second-trimester-medical-abortion-services-in-south-africa
#7
Deborah Constant, Jane Harries, Thokozile Malaba, Landon Myer, Malika Patel, Gregory Petro, Daniel Grossman
OBJECTIVE: To document clinical outcomes and women's experiences following the introduction of mifepristone into South African public sector second-trimester medical abortion services, and compare with historic cohorts receiving misoprostol-only. METHODS: Repeated cross-sectional observational studies documented service delivery and experiences of women undergoing second-trimester medical abortion in public sector hospitals in the Western Cape, South Africa. Women recruited to the study in 2008 (n = 84) and 2010 (n = 58) received misoprostol only...
2016: PloS One
https://www.readbyqxmd.com/read/27577025/a-replication-of-the-uruguayan-model-in-the-province-of-buenos-aires-argentina-as-a-public-policy-for-reducing-abortion-related-maternal-mortality
#8
Marisa G Matía, Eugenia C Trumper, Nery Orlando Fures, Jimena Orchuela
OBJECTIVE: To describe the application of the risk and harm reduction model at primary care level to decrease the mortality due to unsafe abortion in the Province of Buenos Aires, Argentina, and evaluate the results. METHODS: The services offered at primary health units to women undergoing abortion are described-first, only risk reduction and later, legal termination of the pregnancy-including their evolution between 2010 and 2015. The changes in abortion-related maternal mortality are also evaluated...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27493251/bionomics-and-vector-potential-of-culex-thriambus-diptera-culicidae-mosquitoes-in-lake-county-california
#9
Brittany M Nelms, Tara C Thiemann, Danielle N Bridges, Alan E Williams, Michelle L Koschik, Bonnie M Ryan, Jamesina J Scott
California statewide West Nile virus (WNV) minimum infection rates in Culex thriambus Dyar mosquitoes are high; however, few specimens are submitted and tested each year, as their distribution seems limited to larval habitats along riparian systems. To evaluate the role of Cx. thriambus in the amplification, maintenance, and overwintering of WNV in Lake County, CA, the bionomics and vector potential of the species was investigated during 2014 and 2015. Culex thriambus was the most abundant mosquito species, with 1,153 adults and 7,624 immatures collected by vacuum aspiration and dip sampling, respectively, at the primary study site...
November 2016: Journal of Medical Entomology
https://www.readbyqxmd.com/read/27464555/application-of-vacuum-assisted-closure-therapy-and-hyperbaric-oxygen-therapy-for-an-exposed-titanium-plate-after-mandible-reconstruction
#10
Taku Maeda, Yuhei Yamamoto, Soichi Tanaka, Toshihiko Hayashi
The authors report a case of an 84-year-old woman with an exposed mandibular plate after reconstruction, which finally healed with combination therapy using vacuum-assisted closure therapy and hyperbaric oxygen therapy. The woman was diagnosed with mucosal carcinoma of the right oral cavity. During reconstruction after segmental excision of the mandible, a titanium plate was selected based on several risk factors. After the operation, the plate became exposed at the center of the chin. A second surgery was deemed inappropriate because of her age, malnutrition, and recurrent aspiration pneumonia...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27389731/distal-coronary-embolisation-during-transcatheter-aortic-valve-implantation
#11
Akira Tsujimura, Naritatsu Saito, Kenji Minakata, Takeshi Kimura
A 92-year-old woman was admitted to a hospital with severe aortic valve stenosis for transcatheter aortic valve implantation (TAVI). TAVI was performed under general anaesthesia. After balloon valvuloplasty, the patient became hypotensive and transesophageal echocardiography showed severe aortic regurgitation with severely depressed left ventricular wall motion. A 26 mm Sapien XT valve was deployed. However, the ventricular wall motion was still severely depressed. Coronary angiography showed occlusion of the mid-left anterior descending (LAD) artery...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27349412/comparison-of-vacuum-and-aspiration-on-phacoemulsification-efficiency-and-chatter-using-a-monitored-forced-infusion-system
#12
Dallas S Shi, Jason D Jensen, Gregory D Kramer, Brian Zaugg, Brian C Stagg, Jeff H Pettey, William R Barlow, Randall J Olson
PURPOSE: To evaluate the effect of vacuum and aspiration rates on phacoemulsification efficiency and chatter using a monitored forced infusion system. DESIGN: In vitro animal study. METHODS: HASH(0x35a6c40) SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah. PROCEDURES: Formalin-soaked porcine lenses were divided into 2 mm cubes (tip diameter, 0.9 mm). Vacuum levels were tested at 200, 300, 400, and 500 mm Hg; aspiration rates at 20, 35, and 50 mL/min...
September 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27255254/intraocular-pressure-study-using%C3%A2-monitored-forced-infusion-system%C3%A2-phacoemulsification-technology
#13
Jason D Jensen, Tyler Boulter, Nathan G Lambert, Brian Zaugg, Brian C Stagg, Jeff H Pettey, Randall J Olson
PURPOSE: To optimize phacoemulsification efficiency by varying the intraocular pressure (IOP) using the Centurion Vision System, a monitored forced-infusion system. SETTING: John A. Moran Eye Center Laboratories, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Porcine lenses were soaked in formalin and divided into 2.0 mm cubes; 0.9 mm balanced tips were used. Intraocular pressure levels were tested from 30 to 110 mm Hg at 10 mm Hg intervals...
May 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27249889/comparison-of-endometrial-pathology-between-tissues-obtained-from-manual-vacuum-aspiration-and-sharp-metal-curettage-in-women-with-abnormal-uterine-bleeding
#14
COMPARATIVE STUDY
Korakot Sirimai, Tripop Lertbunnaphong, Kitti Malakorn, Malee Warnnissorn
OBJECTIVE: To study the correlation of endometrial pathology, which were derived from manual vacuum aspiration (MVA) and sharp metal curettage (SMC). MATERIAL AND METHOD: Women aged over 35 years old who presented with abnormal uterine bleeding were enrolled. Endometrial biopsy using MVA and sharp metal curettage under paracervical nerve block were performed, respectively. Correlation of endometrial pathology from both methods and correlation between endometrial pathology from MVA and the most severe pathology were analyzed using Kappa statistics...
February 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27193827/what-contraception-do-women-use-after-abortion-an-analysis-of-319-385-cases-from-eight-countries
#15
Janie Benson, Kathryn Andersen, Dalia Brahmi, Joan Healy, Alice Mark, Achieng Ajode, Risa Griffin
Contraception is an essential element of high-quality abortion care. However, women seeking abortion often leave health facilities without receiving contraceptive counselling or methods, increasing their risk of unintended pregnancy. This paper describes contraceptive uptake in 319,385 women seeking abortion in 2326 public-sector health facilities in eight African and Asian countries from 2011 to 2013. Ministries of Health integrated contraceptive and abortion services, with technical assistance from Ipas, an international non-governmental organisation...
May 18, 2016: Global Public Health
https://www.readbyqxmd.com/read/27190635/two-dimensional-cutting-tdc-vitrectome-in-vitro-flow-assessment-and-prospective-clinical-study-evaluating-core-vitrectomy-efficiency-versus-standard-vitrectome
#16
Mitrofanis Pavlidis
Purpose. To evaluate comparative aspiration flow performance and also vitrectomy operating time efficiency using a double-cutting open port vitreous cutting system incorporated in a two-dimensional cutting (TDC, DORC International) vitrectome design versus standard vitreous cutter. Methods. In vitro investigations compared aspiration flow rates in artificial vitreous humor at varying cutter speeds and vacuum levels using a TDC vitrectome and a standard vitrectome across different aspiration pump systems. A prospective single-centre clinical study evaluated duration of core vitrectomy in 80 patients with macular pucker undergoing 25-gauge or 27-gauge vitrectomy using either a TDC vitrectome at 16,000 cuts per minute (cpm) or standard single-cut vitrectome, combined with a Valve Timing intelligence (VTi) pump system (EVA, DORC International)...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27145051/right-atrial-vacuum-assisted-thrombectomy-single-center-experience
#17
Ahmed Al Badri, Chad Kliger, Dillon Weiss, Luigi Pirelli, Sean Wilson, Edward R DeLaney, Vladimir Jelnin, Itzhak Kronzon, Gila Perk, Jonathan M Hemli, Nirav C Patel, Suhail Raoof, Carlos E Ruiz
BACKGROUND: Right heart thrombus in the absence of structural heart disease, atrial fibrillation, or intracardiac catheter is rare. It typically represents a thrombus migrating from the venous system to the lung, known as thrombi-in-transit, and can lead to a life-threatening pulmonary embolism. The optimal therapy for thrombi-in-transit remains controversial. We report our experience using percutaneous removal of right heart thrombus using vacuum aspiration. METHODS: Patients with right atrial mass who were hemodynamically stable and underwent vacuum thombectomy using the AngioVac system (AngioDynamics) at our institution were included in this analysis...
May 2016: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/27113886/comparison-of-a-torsional-and-a-standard-tip-with-a-monitored-forced-infusion-phacoemulsification-system
#18
Tyler Boulter, Jason D Jensen, Michael D Christensen, Nathan G Lambert, Brian Zaugg, Brian C Stagg, Jeff H Pettey, Randall J Olson
PURPOSE: To compare the relative efficiency and chatter of the 30-degree 0.9 mm Kelman tip (standard tip) and Ozil Intrepid Balanced tip (torsional tip) with identical optimum settings. SETTING: John A. Moran Eye Center Laboratories, University of Utah, Salt Lake City, Utah, USA. DESIGN: Experimental study. METHODS: Porcine nuclei were fixed in formalin and cut into 2.0 mm cubes. Lens cubes were phacoemulsified with standard and torsional tips at 60% and 100% torsional amplitude with 0%, 25%, 50%, 75%, and 100% longitudinal power with monitored forced infusion...
April 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27085266/25-gauge-active-aspiration-silicon-tip-assisted-removal-of-glass-and-other-intraocular-foreign-bodies
#19
Ramandeep Singh, Abiraj Kumar, Vishali Gupta, Mangat R Dogra
OBJECTIVES: To describe the use of 25-gauge active aspiration silicon tip in removal of intraocular foreign bodies, including glass. DESIGN: Retrospective, noncomparative, interventional study. PARTICIPANTS: Eleven eyes of 11 patients who underwent the procedure between January 2013 and April 2015. MATERIAL AND METHODS: The study included 10 males and 1 female with a mean age of 31.27 ± 9.64 years (range 12-45 years)...
April 2016: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/27066799/infected-cephalohematomas-and-underlying-osteomyelitis-a-case-based-review
#20
Michael D Staudt, Daniel Etarsky, Adrianna Ranger
BACKGROUND: Cephalohematomas are relatively common sub-periosteal collections of blood that tend to resolve spontaneously without treatment. Rarely, they become infected and can be associated with underlying osteomyelitis, meningitis, or sepsis. Common pathogens include Escherichia coli and Staphylococcus species. ILLUSTRATIVE CASE: This report describes the first case of a neonate developing an infected right parietal cephalohematoma and underlying osteomyelitis caused by Morganella morganii, which was cultured in blood and cephalohematoma aspirate...
August 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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