Акушерство и гинекология

[Наталья П.]

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Ресурс для профессионалов и населения.

[Наталья П.]

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Unnecessary Testing in Obstetrics, Gynecology, and General Medicine: Causes and Consequences of the Unwarranted Use of Costly and Unscientific (Yet Profitable) Screening Modalities

Martin Donohoe, MD, FACP

Medscape Ob/Gyn & Women's Health. 2007; ©2007 Medscape
Posted 04/30/2007

Overview

Unnecessary testing is becoming increasing common in medical practice and consumer demand for certain types of tests have escalated. Such testing is expensive, diverts patient and provider time and attention from addressing evidence-based screening, can provide unwarranted reassurance or cause unnecessary anxiety, and can lead to further interventions that may carry risks of physical harm and even death. This column will provide an overview of unnecessary testing, using examples from obstetrics, gynecology, and general medicine.

There is a large body of evidence-based literature describing the extent, reasons for, and consequences of inappropriate use of laboratory tests, especially in the hospital setting. However, this column will focus primarily on more expensive screening tests, such as full-body scans, which are often marketed directly to unwitting consumers.

[Наталья П.]

Best Pract Res Clin Obstet Gynaecol. 2007 May 10; [Epub ahead of print] Related Articles, LinkOut


Current treatment options for abnormal uterine bleeding: an evidence-based approach.

Istre O, Qvigstad E.

Department of Obstetrics and Gynaecology, Ulleval University Hospital, Oslo, Norway.

Heavy menstrual bleeding is the predominant complaint in women with abnormal uterine bleeding\. Treatment options are drug therapy, and first- and second-generation endometrial resection\. Many women will subsequently have a hysterectomy\. Uterine fibroids are the most common solid pelvic tumours in women, and although many fibroids seem to cause no symptoms, they can have serious adverse effects and impact on quality of life\. As women postpone having children, gynaecologists will have to manage fibroids and polyps in a conservative manner\. The past decade has witnessed the development of highly sophisticated diagnostic and therapeutic technology for women suffering from menorrhagia, fibroids and polyps, including minimally invasive uterine therapy\. The tools currently at our disposal permit greater management flexibility, which must be tailored to the individual clinical situation\. This chapter reviews the evidence-based approach and minimally invasive therapy.

PMID: 17499553 [PubMed - as supplied by publisher]

[Наталья П.]

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Summaries and commentary of medical journal articles covering women's health issues including menopause, pregnancy, and infertility.

[dr.Agapov]

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Атлас заболеваний вульвы
Довольно ценный атлас,в том смысле,что фото некоторых заболеваний в сети не найдешь.Если есть возможность заплатить $ - можно получить и видеоролики.

[dr.Agapov]

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[Изображения доступны только зарегистрированным пользователям]

[Dr. Nika]

Сообщение от dr.Agapov

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Атлас заболеваний вульвы
.

Спасибо большое! Как раз сегодня видела вторичный сифилис, точно, как в атласе, правда, еще запущеннее. Страшная картина, должна сказать!

[Наталья П.]

Курс усовершенствования преподавателей. Комплексная программа обучения репродуктивному здоровью и планированию семьи - 2007 г.
(Advanced Training of Trainers. Comprehensive Reproductive Health and Family Planning Training Curriculum)
(на англ.яз)

Автор:
Pathfinder International

Описание
Этот модуль, включающий руководства как для преподавателя, так и для участника обучения, разработан с целью подготовки преподавателей, уже обладающих навыками преподавания темы репродуктивного здоровья, для достижения более высокого уровня проведения подготовки. Руководство готовит преподавателей для проведения оценки потребности в подготовке, составления детальных планов тренинга, разработки и апробации программы обучения тренинга, проведения подготовки с применением более совершенных педагогических приемов и последующей проверки результатов и оценки тренинга.

Как получить
И Руководство для преподавателя, и Руководство для участника можно выгрузить в виде файлов PDF. Заказ печатных экземпляров по адресу [Ссылки доступны только зарегистрированным пользователям ]

[Ссылки доступны только зарегистрированным пользователям ]

[Наталья П.]

Планирование семьи: Глобальный справочник
(Family Planning: A Global Handbook for Providers)
(на англ.яз)

Автор:
Школа общественного здравоохранения имени Блюмберга при Университете Johns Hopkins

Описание
Этот новый справочник предлагает медицинским работникам в развивающихся странах самые последние рекомендации по использования методов контрацепции. Книга подготовлена благодаря уникальному сотрудничеству между Школой общественного здравоохранения имени Блюмберга при Университете Johns Hopkins, Агентством по международному развитию Соединенных Штатов и более чем 30 организациями во всем мире.

Как получить
Имеется в формате PDF [372 стр.]. Печатные экземпляры книги Планирование семьи: Глобальный справочник для провайдеров и сопровождающий ее настенный плакат "Знаете ли вы о своих возможностях планирования семьи?" можно заказать в отделе заказов Проекта INFO

[Ссылки доступны только зарегистрированным пользователям ]).

Организациям из развивающихся стран справочник предоставляется бесплатно. Для организаций из развитых стран цена за экземпляр составит 24,95 доллара США.

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[Наталья П.]

[Ссылки доступны только зарегистрированным пользователям ]

Family Care International (FCI) is a non-profit organization dedicated to making pregnancy and childbirth safer around the world

- Ensure access to quality maternal and newborn health care;
- Help women and girls to prevent and manage unintended pregnancy;
- Promote the sexual and reproductive health and rights of young people and other underserved groups;
- Reduce the spread of HIV, especially among women and young people.

[DrSusha]

------

[Наталья П.]

New Checklist for Screening Clients Who Want to Initiate Contraceptive Implants

October 2008

Family Health International (FHI) is pleased to announce the release of a new family planning checklist for screening clients who want to initiate the use of contraceptive implants.


Contraceptive implants are matchstick-sized rods that contain progestin. Implanted beneath the skin of a woman’s upper arm, the progestin is slowly released over 3 to 5 years. Contraceptive implants, such as Norplant, Jadelle, Sinoplant, and Implanon, are safe and effective for use by most women. For some women, implants are generally not recommended because of the presence of certain medical conditions, such as some liver tumors or breast cancer. This new checklist is designed to help health care providers screen clients for certain medical conditions to determine if they are appropriate candidates.


The implants checklist is based on recommendations included in the World Health Organization’s Medical Eligibility Criteria for Contraceptive Use (WHO MEC 2004; updated 2008). The checklist can be used by appropriately trained health care providers including nurses, nurse-midwives, nurse-practitioners, midwives, and physicians.


This checklist is part of a series of screening checklists for family planning services, all of which have been recently updated to reflect changes in WHO’s guidance that resulted from an April 2008 WHO Working Group Meeting. The other checklists include the Checklist for Screening Clients Who Want to Initiate Combined Oral Contraceptives, the Checklist for Screening Clients Who Want to Initiate DMPA (or NET-EN), the Checklist for Screening Clients Who Want to Initiate Use of the Copper IUD, and the checklist entitled How to be Reasonably Sure a Client is Not Pregnant. These are available in English, French, and Spanish. The implants checklist will soon be available in French. They can all be downloaded at the following link:

[Ссылки доступны только зарегистрированным пользователям ].


Hard copies of all five checklists are also available at no cost to organizations and libraries working in developing countries. To request hard copies, please email your request to [Ссылки доступны только зарегистрированным пользователям ].
David Hock
Family Health International
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[Chebotnikova T.]

Показания и ограничение к применению КОК, ВМС и контрацептивов, содержащих чистые прогестины , не изменились. Контрацептивы в форме подкожных имплантов в нашей стране не зарегистрированы.

В конце 80-х начале 90-х годов в Москве проходил клинические испытания Норплант (подкожные капсулы с левоноргестрелом), обеспечавающий контрацептивный эффект на 3-5 лет. Но регистрации в Фармкомитете не было - причина отказа осталась тайной.

[Наталья П.]

POPLINER(POPulation information onLINE),
the world's largest database on reproductive health, containing citations with abstracts to scientific articles, reports, books, and unpublished reports in the field of population, family planning, and related health issues.
POPLINE is maintained by the INFO Project at the Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs and is funded by the United States Agency for International Development (USAID).
[Ссылки доступны только зарегистрированным пользователям ]

SUBJECTS Covered Internationally Include:

Family Planning Methods
Medical and behavioral methods used in the regulation of fertility.

Family Planning Programs
Organization, management, delivery, and evaluation of family planning services to men and women of reproductive age, including clinical services, community-based distribution, social marketing, contraceptive security, Maximizing Access and Quality (MAQ) of family planning and other non-clinical or commercial services.

Fertility
The demographic measurement of births in a population; includes the effect of socioeconomic variables and of programs and policies on reproductive performance status and change.

Population Law and Policy
Positions, legislation or actions taken by governments and other public bodies toward reproduction, contraception, migration, and family size.


SUBJECTS Covered in Reference to Developing Countries Include:

Adolescent Reproductive Health
Sexual and reproductive health of adolescent men and women.

Demography
Literature dealing with the statistical and mathematical analysis of the size, composition, and distribution of human populations, and of the causes and consequences of changes in mortality, marriage, and migration. (Excludes fertility which is covered in a separate category)

Environmental Health
Public health issues involving efforts to prevent and control disease by controlling the environment.

Gender and Health
Inequalities that arise from the different roles of women and men and the consequences of that inequality on their lives, their health and well being.

Health Communication
Organized campaigns designed to instruct, disseminate information, or influence knowledge, attitudes, and practices of a population with regard to reproductive health issues.

HIV/AIDS and Sexually Transmitted Diseases/Infections
HIV infections, AIDS, diseases or infections which are transmitted primarily or exclusively through intimate sexual contact.

Maternal and Child Health
Programs to promote safe motherhood, breast-feeding, oral rehydration therapy, immunization, nutrition, growth monitoring, and other practices designed to ensure child survival for children under five-years old.

Population and Environment
Effects of overpopulation on ecology, natural resources, and environmental health.

Related Reproductive Health Programs
Organization, administration, delivery, and evaluation of related reproductive health services.

Women in Development
Effects of development on and programs especially for women and girls.

[SergDoc]

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