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Reproductive Surgery in Assisted Conception
by Mostafa Metwally Tin-Chiu LiTo many patients and indeed health care professionals, IVF is the ultimate treatment for infertility. However in many cases IVF is not feasible and may not be indicated. IVF remains a largely inefficient procedure that often does not succeed in a achieving a pregnancy. There remains a strong place for other fertility interventions, many of them surgical in nature. Surgical interventions can be used as a stand-alone fertility treatment or as an adjuvant treatment used in conjunction with other assisted conception treatments. Despite the continuing use of such techniques by reproductive surgeons, there remains a clear gap in the literature regarding resources to supplement formal training in the field or to provide a reference for established and aspiring practitioners.
Reproductive Surgery: Current Techniques to Optimize Fertility
by Steven R. Lindheim John C. PetrozzaThis well-illustrated, user-friendly text offers a succinct overview of complex surgical sparing management of reproductive pelvic disorders, designed for the reproductive endocrinology and infertility specialist and general gynecologist. World-renowned experts in these areas have contributed detailed chapters that will bolster the surgical knowledge of challenging clinical reproductive infertility scenarios requiring laparoscopic and hysteroscopic skills to enhance fertility outcomes.Providing an understanding of when minimally invasive reproductive surgery is indicated, this book presents clinical pearls to help manage specific pathologies and strategies for managing and minimizing the risks of complications in operative laparoscopy and hysteroscopy. It does so by reviewing pelvic and retroperitoneal anatomy and how it applies to myomectomy, extensive endometriosis, ovarian-tubal surgery, septum, C/S scar isthmocele, Mullerian uterine and vaginal anomalies, and managing complications including bladder and bowel injury. Additionally, selected chapters include accompanying video segments for real-world demonstration of techniques.Reproductive endocrine infertility specialists, as well as clinicians of obstetrics and gynecology interested in reproductive endocrinology and infertility, will find Reproductive Surgery a valuable and focused resource.
Reproductive Surgery: The Society for Reproductive Surgeons' Manual
by Ceana H. Nezhat Jeffrey M. Goldberg Jay Ira SandlowGain confidence in the surgical management of female and male infertility. Authored by leading experts in operative gynecology and urology, in collaboration with the Society of Reproductive Surgeons, this valuable handbook provides readers with a comprehensive understanding of the indications, techniques, and outcomes of modern reproductive surgery. This manual presents clear step-by-step instructions illustrated with intraoperative photographs and surgical videos in order to offer patients surgical options and avoid, or improve, IVF.
Reproductive Technologies in Farm Animals
by Ian GordonBuilding on the successful structure of the first edition, the second edition of Reproductive Technologies in Farm Animals has been totally updated and revised to provide an up to date account of the key techniques employed in manipulating reproduction in farm animals, including beef and dairy cattle, pigs, sheep, goats, buffaloes, camelids, horses and poultry. A classic introductory text to the subject, the book is based on a comprehensive review of the current literature. It: - outlines different agricultural systems and explores the ethical implications of modern farming methods; - details the many new developments, including the commercial application of sexed semen and large-scale application of in vitro produced cattle embryos; - provides a valuable synopsis of current and future reproductive technologies, such as cloning and the production of transgenic animals. This text remains key reading for students in animal science, agriculture, veterinary medicine and biology, and veterinary practitioners and farmers who wish to keep updated on developments in techniques that may be useful in their daily practice.
Reproductive Technologies in Farm Animals
by Ian GordonBuilding on the successful structure of the first edition, the second edition of Reproductive Technologies in Farm Animals has been totally updated and revised to provide an up to date account of the key techniques employed in manipulating reproduction in farm animals, including beef and dairy cattle, pigs, sheep, goats, buffaloes, camelids, horses and poultry. A classic introductory text to the subject, the book is based on a comprehensive review of the current literature. It: - outlines different agricultural systems and explores the ethical implications of modern farming methods; - details the many new developments, including the commercial application of sexed semen and large-scale application of in vitro produced cattle embryos; - provides a valuable synopsis of current and future reproductive technologies, such as cloning and the production of transgenic animals. This text remains key reading for students in animal science, agriculture, veterinary medicine and biology, and veterinary practitioners and farmers who wish to keep updated on developments in techniques that may be useful in their daily practice.
Reproductive Tourism in the United States: Creating Family in the Mother Country (Routledge Advances in Sociology #142)
by Lauren Jade MartinThis book examines the United States as a destination for international consumers of assisted fertility services, including egg donation, surrogacy, and sex selection. Based on interviews conducted with fertility industry insiders who market their services to an international clientele in three of the largest American hubs of the global fertility marketplace - New York City, Los Angeles, and San Francisco - and focusing on the providers rather than the consumers of assisted fertility services, the book shines a light on how professional ethics and norms, in addition to personal moralities, shape the practice of reproductive tourism.
Reproductive Toxicology
by Robert W. Kapp Rochelle W. TylThoroughly examining the popular and expanding field of reproductive toxicology, this newly revised and expanded third edition provides the latest, cutting-edge scientific developments in this constantly evolving discipline. Reproductive Toxicology's contributors are experienced regulatory agency and Clinical Research Organization representatives w
Reproductive ageing
by Susan Bewley William Ledger Dimitrios NikolaouReproductive ageing affects both individuals and wider society, and obstetricians and gynaecologists are witness to the impact of reproductive ageing and to some of the fears and misapprehensions of the general public. This book raises awareness of societal trends and their implications. The wider importance of the subject to the whole of society is emphasized by contributions from outside the world of obstetrics and gynaecology, both within and outside medicine. The 56th RCOG Study Group brought together a range of experts to examine reproductive ageing. This book presents the findings of the Study Group, with sections covering: - background to ageing and demographics - basic science of reproductive ageing - pregnancy: the ageing mother and medical needs - the outcomes: children and mothers - future fertility insurance: screening, cryopreservation or egg donors? - sex beyond and after fertility - fertility treatment: science and reality - the NHS and the market - the future: dreams and waking up.
Reproductive and Developmental Toxicology
by Kenneth S KorachThis timely resource offers extensive discussions on the pharmacological, environmental,endocrinological, and natural factors that alter reproductive or developmental processes-elucidating the effects of toxicants on mechanisms of reproduction. Describing biological actions common to both genders as well as gender-specific processes, Reproducti
Reproductive and Perinatal Epidemiology (Routledge Revivals)
by Michele KielyFirst Published in 1990, Reproductive and Perinatal Epidemiology reviews topics that are central to reproductive and perinatal epidemiology, as well as the methodological issues surrounding research in maternal and child health. Important topics covered include prenatal care, Sudden Infant Death Syndrome (SIDS), epidemiology of neonatal brain hemorrhage, early pregnancy, methodological issues in drug epidemiology, environmental exposures and reproduction, and occupational exposures and reproduction. This book is essential reading for clinicians, researchers, obstetricians, pediatricians, and graduate students in public health.
Reproduktionsimmunologie
by Wolfgang WürfelDas Buch beschreibt die immunologischen Regulationsmechanismen, angefangen von der Implantation bis hin zur Schwangerschaft in Theorie und Praxis und gibt einen Ausblick zur Immunonkologie. Bisher hat sich die Reproduktionsmedizin stark auf die Herbeiführung der extrakorporalen Fertilisation fokussiert, doch werden Einnistungsprobleme immer evidenter.Expertinnen und Experten auf diesem Gebiet der Reproduktionsmedizin beantworten umfassend Fragen zu Implantationsproblemen, rezidivierenden Aborten, Schwangerschaftskomplikationen und Autoimmunerkrankungen auf der Basis von immunologischen Fehlregulationen.Kennen Sie die wichtigsten Grundlagen zu immunologischen Regulationsmechanismen bei Implantation und Schwangerschaft und deren Auswirkungen auf das immunologische Milieu, dann behandeln Sie Ihre Patientinnen optimal. Das Buch richtet sich an Reproduktionsmediziner, Pränatalmediziner, Geburtshelfer sowie interessierte Onkologen.
Reproduktionsmedizin: Gynäkologie Und Gynäkologische Onkologie, Geburtshilfe, Perinatologie Und Pränatale Diagnostik, Gynäkologische Endokrinologie Und Reproduktionsmedizin (Springer Reference Medizin)
by Michael Ludwig Klaus Diedrich Georg GriesingerDie Betreuung von Paaren mit Kinderwunsch und ungewollt kinderlosen Paaren erfordert von Gynäkologen und Reproduktionsmedizinern nicht nur Wissen über die menschliche Fortpflanzung, sondern auch die Kenntnis psychosomatischer, gynäkologischer, andrologischer, juristischer und ethischer Aspekte. Die Autoren des Leitfadens und Nachschlagewerks behandeln diese Themen fundiert und praxisnah. Beginnend bei den physiologischen Grundlagen führend sie über die Diagnostik hin zu den verschiedenen reproduktionsmedizinischen Techniken.
Reprogenetics: Law, Policy, and Ethical Issues (Bioethics)
by Gregory E. Kaebnick Lori P. KnowlesFrom the cloning of Dolly the sheep a decade ago to more recent advances in embryonic stem cell research, new genetic technologies have often spurred polemical, ill-informed debates. Perhaps nowhere is this more evident than in the field of reproductive genetics, where difficult bioethical issues are distilled into sound bites and far-fetched claims for easy public consumption. The underlying complexities of reprogenetic research and practice are often drowned out by the noise.In this thoughtful and informed collection, Lori P. Knowles and Gregory E. Kaebnick bring together bioethicists from the United States, Canada, and the United Kingdom to examine the ethical and policy quandaries created by new genetic technologies. Featuring an overview of the field’s history (including lessons to be learned from eugenics), comparisons of international and domestic governmental regulations, and discussions of how the market and public opinion affect research, this book considers both the risks and the benefits of combining genetic and reproductive technologies.Concluding with a cautionary call for increased regulation, Reprogenetics introduces fact, history, and reason into a public discussion of complex and vexing issues.
Reprogramming Microbial Metabolic Pathways
by Peter Quinn Jian Chen Xiaoyuan WangMetabolic engineering has been developed over the past 20 years to become an important tool for the rational engineering of industrial microorganisms. This book has a particular interest in the methods and applications of metabolic engineering to improve the production and yield of a variety of different metabolites. The overall goal is to achieve a better understanding of the metabolism in different microorganisms, and provide a rational basis to reprogram microorganisms for improved biochemical production.
Reprogramming the Brain: A Guide to the Future of the Brain and Neuromodulation by a Patient and his Doctor
by Alfonso Fasano Benjamin StecherIn June 2021, Doctor and Patient decided that time had come to surgically implant two six-inch-long metal alloy spikes all the way through Ben’s brain. It was felt that the medications Ben was taking to control his Parkinson’s disease had become unmanageable. Back then, Ben was taking about 20 different pills a day. Each pill, if it absorbed properly, would activate the dopamine pathways in his brain and induce uncontrollable writhing movements that would last for about an hour. He would then get about 20 minutes where he’d feel somewhat normal before the slowness and tremor kicked in again. So, he’d take another pill and the cycle would repeat.After months of adjusting his medication and finding just the right settings on his deep brain stimulator, it was decided, for the first time ever in a clinical trial in North America, to flip on the adaptive settings.This is the story of how that decision was made and what happened next.
Reptile Medicine and Surgery in Clinical Practice
by Robert Johnson Bob Doneley Deborah Monks Brendan CarmelA concise and practical quick reference guide to treating reptiles in first opinion veterinary practice Reptile Medicine and Surgery in Clinical Practice is the ideal guide for the busy veterinarian treating reptile cases. Designed as a quick reference guide, but with comprehensive coverage of all the topics needed for first opinion practice, the book presents the principles of reptile medicine and surgery. Richly illustrated chapters cover anatomy, physiology, behaviour, husbandry, reproduction, common diseases and disorders, and much more. Application in a clinical setting is emphasized throughout, including guidance on the physical examination, diagnostic testing and imaging, treatment options, and anaesthetic and surgical techniques. Practical quick-reference guide—ideal for the busy, first-opinion veterinary practitioner Richly illustrated in full colour throughout Edited by a team of highly experienced exotic animal veterinarians Useful reference for those studying for postgraduate certificates in exotic animal medicine With contributions from experts around the globe, Reptile Medicine and Surgery in Clinical Practice is a valuable reference offering a balanced international view of herpetological medicine.
Reptiles and Amphibians: Self-Assessment Color Review, Second Edition (Veterinary Self-Assessment Color Review Series)
by Fredric L. FryeMuch has happened in the 19 years since the publication of the first edition of Reptiles and Amphibians: Self-Assessment Color Review. Many more scientists and clinicians have taken an interest in reptiles and amphibians, novel radiographic techniques have been developed, and veterinary surgeons have devised operative solutions to numerous serious
Reputation and Power
by Daniel CarpenterThe U.S. Food and Drug Administration is the most powerful regulatory agency in the world. How did the FDA become so influential? And how exactly does it wield its extraordinary power? Reputation and Power traces the history of FDA regulation of pharmaceuticals, revealing how the agency's organizational reputation has been the primary source of its power, yet also one of its ultimate constraints. Daniel Carpenter describes how the FDA cultivated a reputation for competence and vigilance throughout the last century, and how this organizational image has enabled the agency to regulate an industry as powerful as American pharmaceuticals while resisting efforts to curb its own authority. Carpenter explains how the FDA's reputation and power have played out among committees in Congress, and with drug companies, advocacy groups, the media, research hospitals and universities, and governments in Europe and India. He shows how FDA regulatory power has influenced the way that business, medicine, and science are conducted in the United States and worldwide. Along the way, Carpenter offers new insights into the therapeutic revolution of the 1940s and 1950s; the 1980s AIDS crisis; the advent of oral contraceptives and cancer chemotherapy; the rise of antiregulatory conservatism; and the FDA's waning influence in drug regulation today. Reputation and Power demonstrates how reputation shapes the power and behavior of government agencies, and sheds new light on how that power is used and contested.Some images inside the book are unavailable due to digital copyright restrictions.
Requiem for the Bone Man: A Novel
by R. A. ComunaleRequiem for the Bone Man is a moving, compelling first novel, told with the assurance and skill of a born storyteller. It is also a meditation on the art of healing, as seen in the adventures of its unforgettable central character, Dr. Robert Galen. From his youth as a street-smart son of immigrants to his career as a gifted physician, Galen is tough-minded yet compassionate. Above all, he is deeply human, willing to risk the pain of loss and failure that inevitably comes to those with an unshakeable commitment to a vocation and to friends and loved ones.
Requirements Engineering for Digital Health
by Samuel A. Fricker Christoph Thümmler Anastasius GavrasHealthcare and well-being have captured the attention of established software companies, start-ups, and investors. Software is starting to play a central role for addressing the problems of the aging society and the escalating cost of healthcare services. Enablers of such digital health are a growing number of sensors for sensing the human body and communication infrastructure for remote meetings, data sharing, and messaging. The challenge that lies in front of us is how to effectively make use of these capabilities, for example to empower patients and to free the scarce resources of medical personnel. Requirements engineering is the process by which the capabilities of a software product are aligned with stakeholder needs and a shared understanding between the stakeholders and development team established. This book provides guide for what to look for and do when inquiring and specifying software that targets healthcare and well-being, helping readers avoid the pitfalls of the highly regulated and sensible healthcare domain are and how they can be overcome. This book brings together the knowledge of 22 researchers, engineers, lawyers, and CEOs that have experience in the development of digital health solutions. It represents a unique line-up of best practices and recommendations of how to engineer requirements for digital health. In particular the book presents: · The area of digital health, e-health, and m-health · Best practice for requirements engineering based on evidence from a large number of projects · Practical step-by-step guidelines, examples, and lessons-learned for working with laws, regulations, ethical issues, interoperability, user experience, security, and privacy · How to put these many concerns together for engineering the requirements of a digital health solution and for scaling a digital health product For anybody who intends to develop software for digital health, this book is an introduction and reference with a wealth of actionable insights. For students interested in understanding how to apply software to healthcare, the text introduces key topics and guides further studies with references to important literature.
Rescue
by Anita ShreveIs love always worth saving - no matter what the cost?The car crash should have killed her. But rookie paramedic Peter Webster takes the emergency call, and helps the young woman, Sheila Arsenault, to survive. After the accident, she haunts his thoughts, despite his misgivings about getting involved with a patient. Soon he is embroiled in an intense love affair and in Sheila's troubled life. Eighteen years later, Sheila is long gone and Peter is raising their daughter, Rowan, alone. But Rowan is veering dangerously off course and for the first time in their quiet life together Peter fears for her future. He seeks out the only person who may be able to help Rowan, although Sheila's return is sure to unleash all the questions Peter has been carefully keeping at bay: Why would a mother leave her family? How did the marriage of two people in love unravel?
Rescue Team (Grace Medical #2)
by Candace Calvert"Calvert is an ER nurse who brings the reader not only a great romantic story, but a glimpse into the chaos of an urban medical clinic."--ROMANTIC TIMES Tired of running from her past, nurse Kate Callison intends to become Austin Grace Hospital's permanent ER director and make Texas her home. Despite staff friction, she's moving ahead. Then unthinkable tragedy wraps the ER in crime tape, brings swarms of media, legal chaos... and a search-and-rescue hero who seems determined to meddle in her life. For Wes Tanner, nothing beats finding someone who's lost; he's known that helpless terror firsthand. That's why he's committed to extending a lifeline of hope to others as a rescue volunteer. He's ready for anything--except Austin Grace's prickly and dismissive ER director. As Kate and Wes discover more about each other, new respect becomes something deeper. Kate wonders if her heart might finally have found a home. But when a startling missing person's case unearths secrets and opens old wounds, she fears that all they've found will just as quickly be lost. CANDACE CALVERT is a former ER nurse and author of the Mercy Hospital and Grace Medical series. Her medical dramas offer readers a chance to "scrub in" on the exciting world of emergency medicine, wife, mother, and very proud grandmother, Candace makes her home in northern California. Please visit her website at www.candacecalvert.com.
Rescued by Dr. Rafe (Stranded in His Arms #1)
by Annie ClaydonHer unexpected rescuer When newly qualified paramedic Mimi Sawyer is separated from her colleague in a flash flood, the last person she wants to come to her rescue is Dr. Rafe Chapman-the man who broke her heart when he walked out five years ago... Talking about his feelings has never been easy for Rafe. But their forced reunion means confronting the truth of the past. It's suddenly clear that Mimi has always been the one for him, yet to win her back he'll need to convince Mimi that he's the one for her!
Rescued by Her Mr. Right: Healed By Her Army Doc (bondi Bay Heroes) / Rescued By Her Mr Right (bondi Bay Heroes) (Bondi Bay Heroes #4)
by Alison RobertsDancing in the best man’s arms……is her biggest risk of all!In this Bondi Bay Heroes story, injured nurse Harriet Collins agrees to let hunky paramedic Jack Evans get her fighting fit and back on the Specialist Disaster Response team. After all, it’s purely platonic, right? Plus she’s already nursing a broken heart. But when she’s the bridesmaid and Jack’s the best man at their teammates’ wedding, Harriet wonders if it could be more…
Rescued by Her Rival (Harlequin Lp Medical Ser. #Vol. 1031)
by Amalie BerlinFrom fighting fires…To fighting attraction!Firefighter medic Lauren Autry was devastated when she lost out on her dream job as a smoke jumper to golden boy Beck Ellison. Two years later she’s trying again and surprised to see her nemesis with the rookies on probation. Beck is more brooding than ever, but still as maddeningly handsome. A wildfire forces them to work together, but it’s the flaming attraction raging between them that Lauren is desperately trying to put out…“The healing powers of love are working overtime! Excellent characters and attention grabbing … highly recommend!”— Goodreads on Healed Under the Mistletoe“This was such an emotionally-charged story, which I loved from start to finish…a wonderfully-crafted tale…”— Harlequin Junkie on Back in Dr. Xenakis’ Arms