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https://www.readbyqxmd.com/read/27908210/the-sexuological-impact-of-hormonal-contraceptives-based-on-their-route-of-administration
#1
Maurizio Guida, Costantino Di Carlo, Jacopo Troisi, Alessandra Gallo, Francesca Cibarelli, Ellis Martini, Lara Tiranini, Rossella E Nappi
Evidence on the effects of hormonal contraceptives on female sexuality is conflicting. We enrolled 556 women, divided into six groups: two composed of subjects using a combined hormonal contraceptive (COC) containing 0.020 ("COC20") and 0.030 ("COC30") mg of ethynyl estradiol (EE), "natural", using COC containing 1.5 mg of estradiol (E2), "ring", using a vaginal ring releasing each day 0.015 mg of EE + 0.120 of etonogestrel, "subcutaneous", using a progestin only subcutaneous contraceptive implant releasing etonogestrel and "controls", using no hormonal contraceptive methods...
December 2, 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/27889093/removal-of-a-contraceptive-implant-from-the-brachial-neurovascular-sheath
#2
Christopher Belyea, Justin Ernat, Rey Gumboc
Subdermal implantable devices are commonly used for long-acting contraception in the United States and Europe. Although relatively safe in nature, their implantation and removal may be associated with potential complications, some of which may require surgical intervention. Complications may include infection, incorrect implantation, migration, or difficulty with removal. Proximal migration has been reported; however, there are no reports of devices that have migrated within the brachial neurovascular sheath...
November 23, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27888047/looking-for-a-lost-subdermal-contraceptive-implant-think-about-the-pulmonary-artery
#3
A Gallon, M Fontarensky, C Chauffour, L Boyer, P Chabrot
This case highlights a rare but potentially life-threatening complication of a contraceptive implant insertion that was corrected by a noninvasive endovascular procedure. This procedure requires a quick intervention to be successful.
November 22, 2016: Contraception
https://www.readbyqxmd.com/read/27865875/axillary-migration-of-nexplanon%C3%A2-case-report
#4
Daniela Diego, Erryn Tappy, Jose Carugno
A 19 year old patient presented to the clinic, and we inserted a single rod subdermal etonogestrel implant (Nexplanon ®), which subsequently migrated to the ipsilateral axilla. Distant Nexplanon® migration is a rare serious complication that should be considered when a device is non-palapable. Management options are discussed.
November 16, 2016: Contraception
https://www.readbyqxmd.com/read/27836601/generation-of-electrical-power-under-human-skin-by-subdermal-solar-cell-arrays-for-implantable-bioelectronic-devices
#5
Kwangsun Song, Jung Hyun Han, Hyung Chae Yang, Kwang Il Nam, Jongho Lee
Medical electronic implants can significantly improve people's health and quality of life. These implants are typically powered by batteries, which usually have a finite lifetime and therefore must be replaced periodically using surgical procedures. Recently, subdermal solar cells that can generate electricity by absorbing light transmitted through skin have been proposed as a sustainable electricity source to power medical electronic implants in bodies. However, the results to date have been obtained with animal models...
November 3, 2016: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/27833514/haematological-and-biochemical-effects-of-etonogestrel-subdermal-implant-implanon-in-ilorin-nigeria
#6
Olayinka R Balogun, Abiodun S Adeniran, Adebayo A Adewole
OBJECTIVES: To evaluate the effect of etonogestrel subdermal implant (Implanon) on haematological and biochemical parameters of its users. METHODOLOGY: A prospective observational study among healthy women using Implanon for contraception. The study site was the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Informed consent was obtained and participants were followed up for three years. Follow up parameters were haematological and biochemical evaluation at insertion (baseline), first and third years post-insertion...
October 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27773713/reassessing-the-importance-of-long-acting-contraception
#7
Quentin C Karpilow, Adam T Thomas
BACKGROUND: Several recent studies have highlighted the need for greater use of long-acting contraception. The most influential of these studies is the Contraceptive CHOICE Project, which was credited with substantially reducing participants' pregnancy risk by increasing their use of long-acting methods such as intrauterine devices and subdermal implants. However, because participants' rates of nonuse and condom use fell to zero at the outset of the intervention, it is possible that sizeable pregnancy reductions could still have been achieved if enrollees had chosen shorter-acting female-controlled methods such as oral contraception...
October 20, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27725164/tamoxifen-for-the-treatment-of-breakthrough-bleeding-with-the-etonogestrel-implant-a-randomized-controlled-trial
#8
Katharine B Simmons, Alison B Edelman, Rongwei Fu, Jeffrey T Jensen
OBJECTIVE: The etonogestrel (ENG) subdermal implant can cause frequent breakthrough bleeding in some users. The objective of this study was to evaluate whether a short course of tamoxifen reduces bleeding/spotting days compared to placebo in ENG implant users. STUDY DESIGN: In this double-blind trial, we randomized ENG implant users with frequent or prolonged bleeding or spotting to tamoxifen 10 mg or placebo twice daily for seven days, to be started after three consecutive days of bleeding/spotting...
October 7, 2016: Contraception
https://www.readbyqxmd.com/read/27695725/patients-perspectives-about-why-they-have-their-contraceptive-implanon-nxt-device-removed-early
#9
Meike Flore, Xiaoshuang Lilly Chen, Andrew Bonney, Judy Mullan, Bridget Dijkmans-Hadley, Adam Hodgkins, Gina Evans, Haley Frew, Gail Lloyd
BACKGROUND: Women with long-acting, reversible contraceptive devices inserted may choose to remove them prior to their planned expiry dates. OBJECTIVE: The objective of this study was to explore Australian women's experiences with the etonogestrel subdermal contraceptive implant (Implanon NXT) and why they had it removed early. METHODS: Semi-structured interviews were conducted with 18 women between June 2013 and January 2014. Transcriptions of the audio-taped interviews were analysed using a constant comparative analysis framework...
October 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27695724/australian-women-s-experiences-of-the-subdermal-contraceptive-implant-a-qualitative-perspective
#10
Kumiyo Inoue, Marguerite Kelly, Alexandra Barrett, Deborah Bateson, Kirsten I Black, Mary Stewart, Juliet Richters
BACKGROUND: The number of prescriptions for contraceptive implants has steadily increased in Australia, but implant use is still low. OBJECTIVE: The objectives of the study were to describe women's nuanced responses, and characterise their multidimensional and complex reasons for (dis)continuing use of the contraceptive implant. METHODS: A descriptive qualitative approach was used for this study. A larger qualitative study using in-depth, open-ended interviews, conducted in New South Wales between 2012 and 2013 with 94 women aged 16-49 years who had used contraception, included 10 interviews containing accounts of implant use...
October 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27692079/body-art-and-the-perioperative-process
#11
Debra Dunn
Body modification, also known as body art, has been a common cultural practice for thousands of years and includes body piercings, transdermal and subdermal implants, tattoos, scarification, body stretching and sculpting, dental grills, and nail art. Perioperative nurses must learn more about body art to provide nonjudgmental, nonprejudicial care and to ensure patient safety when they prepare patients for surgery. A welcoming environment engages patients and fosters communication so that patients are more likely to share hidden body art...
October 2016: AORN Journal
https://www.readbyqxmd.com/read/27671673/extended-use-up-to-5-years-of-the-etonogestrel-releasing-subdermal-contraceptive-implant-comparison-to-levonorgestrel-releasing-subdermal-implant
#12
Moazzam Ali, Ayse Akin, Luis Bahamondes, Vivian Brache, Ndema Habib, Sihem Landoulsi, David Hubacher
STUDY QUESTION: Is it possible to extend the use of the 3-year one-rod etonogestrel (ENG)-releasing subdermal contraceptive implant to 5 years? SUMMARY ANSWER: The extended use of the one-rod ENG-releasing subdermal contraceptive implant showed 100% efficacy in years 4 and 5. WHAT IS KNOWN ALREADY: The initial regulated trials on the ENG-releasing subdermal contraceptive implant conducted in the 1990 s were designed to measure cumulative 3-year efficacy...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27664217/immediate-versus-delayed-insertion-of-an-etonogestrel-releasing-implant-at-medical-abortion-a-randomized-controlled-equivalence-trial
#13
Helena Hognert, Helena Kopp Kallner, Sharon Cameron, Christina Nyrelli, Izabella Jawad, Rebecca Heller, Annette Aronsson, Ingela Lindh, Lina Benson, Kristina Gemzell-Danielsson
STUDY QUESTION: Does a progestin releasing subdermal contraceptive implant affect the efficacy of medical abortion if inserted at the same visit as the progesterone receptor modulator, mifepristone, at medical abortion? SUMMARY ANSWER: A etonogestrel releasing subdermal implant inserted on the day of mifepristone did not impair the efficacy of the medical abortion compared with routine insertion at 2-4 weeks after the abortion. WHAT IS ALREADY KNOWN: The etonogestrel releasing subdermal implant is one of the most effective long acting reversible contraceptive methods...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27615386/pharmacologic-treatment-of-the-ovarian-endometrioma
#14
Giuseppe Benagiano, Sun-Wei Guo, Paola Bianchi, Patrick Puttemans, Stephan Gordts, Felice Petraglia, Ivo Brosens
INTRODUCTION: Treatment of ovarian endometriomas is commonly achieved through laparoscopic surgery and this can be effective in eliminating the disease, although a majority of recent trials documented an adverse effect of surgery on ovarian reserve markers. With the advancement in imaging techniques, ovarian endometriomas are increasingly diagnosed at an earlier stage when the endometrioma may be smaller, less fibrotic and more responsive to medical treatment, making an evaluation of medical options critically important...
October 2016: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/27608885/stabilized-collagen-and-elastin-based-scaffolds-for-mitral-valve-tissue-engineering
#15
Christopher Deborde, Dan Teodor Simionescu, Cristopher Wright, Jun Liao, Leslie Neil Sierad, Agneta Simionescu
There is a significant clinical need for new approaches to treatment of mitral valve disease. The aim of this study was to develop a tissue-engineered mitral valve scaffold possessing appropriate composition and structure to ensure ideal characteristics of mitral valves, such as large orifice, rapid opening and closure, maintenance of mitral annulus-papillary muscle continuity, in vivo biocompatibility and extended durability. An extracellular matrix-based scaffold was generated, based on the native porcine mitral valve as starting material and a technique for porcine cell removal without causing damage to the matrix components...
November 2016: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/27538571/the-effect-of-contraceptive-methods-on-reproductive-tract-infections-risk-a-cross-sectional-study-having-a-sample-of-52-481-women
#16
Li-Ya Wang, Le OuYang, Fei Tong, Xiu-Jun Zhang, Xiu-De Li, Cheng-Cheng Wang, Xiang Li, Liang Sun, Ye-Huan Sun
OBJECTIVE: The aim of this study was to investigate the association between specific contraceptives use and reproductive tract infections (RTIs). STUDY DESIGN: Participants consisted of 52,481 rural married women of reproductive age identified from a cross-sectional study in Anhui Province of China. The questionnaire, gynecological examination, and laboratory inspection were used to collect data. The subgroup analysis was performed to estimate the effect of the specific contraceptives on the specific RTIs...
August 19, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27538003/calcium-hydroxylapatite-with-integral-lidocaine-provides-improved-pain-control-for-the-correction-of-nasolabial-folds
#17
Daniel Schachter, Vince Bertucci, Nowell Solish
Calcium hydroxylapatite microspheres in a carrier gel (CaHA; Radiesse®: Merz North America, Inc., Raleigh, NC) is approved by the United States Food and Drug Administration for subdermal implantation for the correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds (NLFs). Lidocaine is often mixed with injectable dermal fillers to reduce injection pain. A new formulation of CaHA has been developed with the convenience of integral 0.3% lidocaine, CaHA (+).<br /> This multicenter, split-face, double-blind study randomized subjects to receive treatment with CaHA (+) in one NLF and CaHA without lidocaine in the contralateral NLF...
August 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/27452318/intravascular-migration-of-contraceptive-implants-two-more-cases
#18
Sam Rowlands, Diana Mansour, Martyn Walling
CASES: In addition to previously published case reports, further cases of intravascular migration of contraceptive implants have been identified from an information request to two national adverse reaction spontaneous reporting systems. We report on two new cases of insertion into the venous system with subsequent embolism to a pulmonary artery. CONCLUSION: Incorporating barium sulfate into the implant has facilitated diagnosis of these very rare adverse events with the initial diagnosis of embolism to the pulmonary arterial tree made by chest X-ray...
July 21, 2016: Contraception
https://www.readbyqxmd.com/read/27440067/injectable-aorta-tissue-paste-for-vocal-fold-medialization-residence-time-biocompatibility-and-comparison-to-predicates-in-a-guinea-pig-subdermal-model
#19
James A Burns, Jaime L Botelho, Jonathan I Bell, William Faquin, Gerardo Lopez-Guerra, Jerome L Ackerman, James B Kobler
OBJECTIVES: Aortic homografts integrate well with laryngeal tissue when used in reconstructive surgery. It was hypothesized that a paste of aortic homograft, rich in slow-to-degrade elastin, would compare favorably in residence time and biocompatibility to predicate materials used for vocal fold injection-medialization. METHODS: An injectable aorta paste (AP) was made by pulverizing aortic homografts at -196°C (cryomilling). To assess residence time and biocompatibility, 0...
November 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27423766/incidence-of-discontinuation-of-long-acting-reversible-contraception-among-adolescent-and-young-adult-women-served-by-an-urban-primary-care-clinic
#20
Katharine K Sznajder, Kathy S Tomaszewski, Anne E Burke, Maria Trent
STUDY OBJECTIVE: To estimate long-acting reversible contraception (LARC) discontinuation rates. Secondary aims were to determine risk factors for discontinuation, describe reasons for discontinuation, evaluate complications related to placement, and estimate pregnancy rates after discontinuation. DESIGN: We conducted a retrospective cohort study of LARC method use through review of electronic medical record data. SETTING: Our program is housed in an academic primary care pediatric and adolescent clinic in Baltimore, Maryland...
July 14, 2016: Journal of Pediatric and Adolescent Gynecology
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