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Initial tests may be culdocentesis, hematocrit, a pregnancy test, a qualitative HCG blood test, a transvaginal ultrasound or pregnancy ultrasound and a white blood count test. An ectopic pregnancy can be distinguished from a normal intrauterine pregnancy through a rise in quantitative HCG levels. Declining -hCG levels is indicative of an ectopic pregnancy (Kulp & arnhart 2008). AD & C, laparoscopy and laparotomy tests will confirm the diagnosis (Chen).
An early diagnosis of ectopic pregnancy with transvaginal ultrasound scan or TVS provides the clinician with conservative options (Madani 2008). Methotrexate may be prescribed if the ectopic pregnancy is small. TVS also reduces chances of mortality. Laparoscopy can be reserved for use as treatment rather than for diagnosis (Madani).
Differential diagnosis includes appendicitis, salpingitis, ruptured corpus luteum cyst, or ovarian follicle, spontaneous or threatened abortion, ovarian torsion, and urinary tract disease (Sepilian & Wood 2009).
An ectopic pregnancy can neither…… [Read More]
ectopic/heterotopic brain tissue. Extracranial brain tissue without direct connection to the brain itself may be an isolated cutaneous embryonic defect that is usually located on the occipital or parietal area of the scalp. Most of the time these are harmless and can be removed. These often are called heterotopic brain tissue or cutaneous ectopic brain tissue or (CEB).
ECTOPIC OR HETEROTOPIC BRAIN TISSUE
Extracranial brain tissue that is directly connected to the brain itself may be an isolated cutaneious embryonic defect. These are usually located on the occipital or parietal areas of the scalp. They are often called heteropic brain tissue or cutaneous ectopic brain (CEB) (Janniger 1). Most of the time these are simple defective tissue that can easily be removed from the scalp. However, there are several different types of ectopic brain tissues and some of these can be signs of underlying central nervous system problems. Each of…… [Read More]
Ectopic Pegnancy and the Jehovah's Witness
It is impotant to be awae of cultual and eligious beliefs within a community, especially as a health cae povide, because when dealing with patients fom within that community thee can be tensions that aise if the teatment violates a pinciple of the cultual/eligious community. This would be the case wee a membe of Jehovah's Witness community to come into the hospital with the symptom descibed in the case study in which the woman has ectopic pegnancy. Because it is a tenant of the Jehovah's Witness community to eject blood tansfusion, it is impotant that a hospital have a back-up plan fo such cases so as to be able to pactice "bloodless medicine" in ode to save the lives of patients like the 25-yea-old woman in the case scenaio (Ratcliffe, 2004). This pape will discuss the impact of teating Jehovah's Witnesses when the teatment…… [Read More]
Pelvic inflammatoy disease, a citical poblem
Occuence o ecuence of pelvic inflammatoy disease o PID has been linked to STIs such as C. tachomatis o Neisseia gonohoeae. Patient education and simplified guidelines ae needed to develop accuate diagnosis. In ode fo changes to take place, moe eseach must be done to undestand the complex natue of the disease and the most effective and cost effective method of teatment.
This pape delves into the isk factos, diagnosis pocesses, teatment, elevant psychological issues, public health implications, patient and family education, and appopiate efeal to specialty by eviewing liteatue petinent to PID. The esults of the liteatue eview show vey little in the past was done in egads to eseaching symptoms of PID and teatment efficacy. New eseach shows lowe abdominal pain as a main indicato of PID as well as C. tachomatis o Neisseia gonohoeae. The data also elaboates on the isks…… [Read More]
Abnormal Uterine Bleeding and Issues
Reproductive Tract Diseases for human females are typically focused in the upper reproductive tract or the lower reproductive tract. The upper tract includes the fallopian tubes, ovary and uterus, while the lower reproductive tract focuses on the vagina, cervix and vulva. There are three major types of infections: endogenous, iatrogenic and sexually transmitted diseases. Endogenous diseases arise from internal cellular structures and may be bacterial, viral or genetic, usually the most common and arise from an overgrowth of organisms that are already present in the vagina; iatrogenic diseases are the result of medical or surgical treatment, and sexually transmitted diseases occur between humans as a result of sexual behavior. In addition to infections, there are congenital abnormalities, cancers and functional problems. Each infection has its own specific cause and symptoms; caused by bacteria, virus, fungi or other organisms. Indeed, some are easily treatable and cured,…… [Read More]
It produced a net increase in perceived benefits of protective behavior and in self-efficacy among both males and females, and a reduction in perceived barriers to protective behavior among females. Consistent with these changes, it was also associated with a reduction in risky sexual behavior among young men and an increase in contraceptive use among young men and women (Agha, 2002, p. 67+).
Agha also noted that there was more positive change among young women than among young men, a fact that "may reflect a better ability of these adolescent sexual health interventions to address the concerns of women than of men, or a greater receptivity to such interventions among young women than among young men" (2002, p. 67+). Because of the success of this program, however, Agha suggests that means of reaching young men to the same extent are worthy of additional study, and multi-media, educational programs of long…… [Read More]
ahrq.gov/clinic/uspstfix.htm, through the National Guideline Clearinghouse at http://www.guideline.gov.
Evidence-based findings concerning chlamydia screening and treatment of PID contained in the peer-reviewed and scholarly literature.
The additional resources cited at Appendix a will also be consulted.
3. Identify a specific group of people that are being affected by the disease/condition. The screening guidelines published by the USPSTF recommend that the following specific groups of women should be routinely screened, whether or not they are pregnant, if they:
Are sexually active and aged 25 or younger;
Have more than one sexual partner, regardless of age;
Have had an STD in the past, regardless of age; and Do not use condoms consistently and correctly, regardless of age (Screening for Chlamydial infection) a. Explain any unhealthy behaviors that may be contributing to the disease/condition. Some of the unhealthy behaviors that may contribute to the incidence of PID include (1) having multiple sex partners and…… [Read More]
A newer and easy test is the OSOM Vlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by V pathogens (Mashburn).
The most reliable criterion for detecting V is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out V. A pH >4.5 can also indicate trichomoniasis or muco-purulent cervicitis. Vaginal inflammation more strongly suggests trichomonas or muco-purulent cervicitis, in turn associated with gonorrhea or chlamydial trachomatis (Mashburn).
The patient's pH level is 6, indicating V.
These are an inexpensive and relatively easy screening procedure for the most common sexually transmitted diseases, such as V (Iglesias, Alderman & Fox, 2000). The practitioner should be appropriately trained and experienced in using this procedure. Hence, the proper protocol and quality control are needed to insure accurate diagnosis.…… [Read More]
Against Legal Abortion
The legality of abortion has been a topic of discussion for quite some time now. Pro-life participants and pro-choice participants go head in head debating on what the right thing to do would be. Although giving women the right to choose to do with their bodies whatever it is that they would like to do with them, the health risks and the societal effects and impact that legalizing abortion would do, will outweigh any freedom of choice argument.
Women who get even one abortion in their lifetime have an increased chance of getting physical ailments and illnesses than women who have not gotten an abortion. They are 30% more likely to get an ectopic pregnancy in the future if they have gotten one abortion and four times more likely if they have gotten two or more, which by itself increases the mortality rate of a woman by…… [Read More]
Life Cycle of Chlamydia Trachomatis in the Human Body
Infection & Symptoms
Prevention of Chlamydia Infection
Chlamydia trachomatis, a bacterium, has a tendency to infect the columnar epithelium of the cervix, the urethra, and the rectum. Apart from genital areas the bacteria can affect and infect other areas of the body like the lungs and the eyes. This bacterium is one of the prime sources of most of the sexually transmitted diseases. There are practically no prior symptoms of infection by this bacterium (Breguet, 2007). However several complications such as pelvic inflammatory disease, infertility, and ectopic pregnancy in women can occur if the infection if left untreated for a long time. Men can also develop disease complications like epididymitis and orchitis from this bacterium.
Treatment for the uncomplicated state of this infection is fairly simple and should include simple antibiotics like azithromycin or doxycycline.…… [Read More]
Armstrong's findings additionally relate that due to previous research and the influence of perinatal loss on postpartum depression on partnered relationships. Armstrong states that differences in continued psychological stress between mothers and fathers after a subsequent birth is another area requiring further evaluation. Specifically stated is that it is necessary to evaluate "...the strength of partnered relationships during future childbearing experiences is important to identify any potential influence of the loss on couple, as well as family, outcomes. Understanding possible gender differences may help neonatal nurses and other healthcare providers to recognize couples at risk for discord." (2007)
Neonatal nurses are those who work closely with infants and parents and in the best position to make identification of depression and to pose questions about the individuals symptoms including:
3) energy or fatigue levels;
4) ability to concentrate; and 5) as well the neonatal nurse is in…… [Read More]
Et al. "Psychological Responses of Women After First-Trimester Aortion." Arch Gen Psychiatry. Volume 57.8 (2000): 777-84. Lexis Nexis
Rearden, David C. "Aortion and Susequent Sustance Ause." The Journal of Drug and Alcohol Ause. Vol 26.1 (2000): 61-75. Wiley Online Lirary
Rosen, Gerald; Spitzer, Roert; McHugh, Paul. "Prolems with the post-traumatic stress disorder diagnosis and its future in DSM-V." British Journal of Psychology. Volume 192 (2008): 3-4. Hard Copy
Speckhard, Anne; Rue, Vincent. "Complicated mourning: Dynamics of impacted post aortion grief." Journal of Prenatal Psychology Health. Volume 8.1 (1993): 32
Speckhard, Anne; Rue, Vincent. "Postaortion Syndrome: An Emerging Pulic Health Concern." Journal of Social Issues. Volume 48.3 (2010): 95-119. Referenced in Government Study
"Mental Health and Aortion." American Psychology Association. 2008. We. 25 Fe. 2012.… [Read More]
However, proper treatment may restore fertility. During pregnancy, existing fibroids may grow at a greater pace due to the increased blood flow and estrogen levels but they usually return to their original size after delivery.
Pelvic Inflammatory Disease
Definition & Cause: Pelvic inflammatory disease (PID) is a general term for infection of the lining of the uterus, the fallopian tubes. It is a very common disease and in the United States alone, nearly 1 million women develop PID each year and more than 100,000 women become infertile as a result of PID (NAID Fact sheet, 2005). It is caused in a majority of cases through sexually transmitted diseases such as Chlamydia and gonorrhea but PID-causing bacteria may also cause infection through other means such as during childbirth, abortion, or IUD insertion.
Complications: PID can damage the fallopian tubes, ovaries, uterus, and cervix, leading to chronic pelvic pain and serious damage…… [Read More]
Women who see their physician two times a year for refills would see an individual cost savings of $85 per year for a total cost savings of $307 million for the population. In addition, approximately 2.1 million women would eliminate their annual gynecological visits altogether for an individual cost savings of $85 per year and a total cost savings of $178.54 million (Louis Harris and Associates 1993). Overall, the savings to women who either stop seeing their physician annually or reduce their visits to once a year would equal about $695.3 million.
Assuming the average wage rate is $12/hour and the average amount of time spent at the doctor's office is 11/2 hours (including travel time), women who currently see their physician four times a year for Oral Contraception refills would save 4.5 hours per year or$54 for a total opportunity cost savings of $44.4 million for the population. Five…… [Read More]
If a driver ignored a road sign that said "Danger: Bridge Out!" and proceeded along the street, he would be labeled as an idiot by his community. If a fence had a sign on it that read, "arning: Vicious Dogs" and some adventure-seeking teens climbed that fence, no one would be surprised when they had their legs torn off by a pack of pit bulls. However, every single year 400,000 Americans die from ignoring one of the most infamous warnings: The Surgeon General's warning on cigarette packages. Smoking cigarettes may seem to be a part of the definition of being an American-- everyone from the street punk rebels to the successful big business CEOs are automatically visualized with a cigarette or fat Cuban cigar hanging from their mouths. These smokers see themselves as a better person for the momentary pleasure they receive from these tobacco products, but fail to realize…… [Read More]
STDs: A MAJO CONTEMPOAY PUBLIC HEALTH CONCEN
Sexually Transmitted Diseases
Given the advances in medicine and public health over the past several decades, most people might assume that the incidence and prevalence of sexually-transmitted diseases (STDs) is declining; however, the scientific evidence suggests otherwise. ecent estimates from the Centers for Disease Control and Prevention (CDC) in the United States suggest that 20 million new STD infections occur every year and cost the U.S. health care system close to $16 billion dollars annually (CDC, 2013). This is up from 12 million STD infections and $10 billion dollars annually during the mid-1990s (Zenilman, 2004). In 2011, reports of chlamydia incidence set another annual record, double from what it was just 10 years ago (CDC, 2011). To better understand the health threats facing Americans when they engage in sexual activity this report will review what is known about the most common STDs infecting…… [Read More]
The author of the article, "Achieving the Challenge: Meeting Standards in the Continuation High School" (Stits, 2001) related that "prior to 1983, many continuation high schools existed in districts where expectations were limited to keeping the students in school as much as possible," and also the ideas was to keep those continuation students "away from the traditional high school campus." The implication was clear: there was a stigma that students in continuation school were bad seeds, and the idea was to keep them away from the mainstream lest they have a negative effect on the "good students" in the regular high school.
But eventually, the image of continuations schools in California changed, as communities more and more were trying to prevent school dropouts, and the need for a high school diploma became more important, as well, Stits writes.
HO DO CONTINUATION SCHOOLS OPERATE?
In an article in the journal Thrust…… [Read More]
However, recently, anesthesiologists have suggest a low to mid thoracic epidural combined with adequate general anesthesia. This anesthetic technique will allow for adequate inter-operative monitoring. After the operation, the anesthesiologist must continue to monitor the patient for either hypertension, hypotension and hypoglycemia. The presence of either of these conditions may alter the course of the medication given to the patient once the patient is removed from the anesthesia.
Neurofibroma can cause systemic problems within the various components of the Respiratory System. As has already been presented, Neurofibromas can cause partial blockages within upper parts of the trachea. However, Neurofibromas can also pose challenges or the anesthesiologist when dealing with nasal, sinus or maxilofacial cavities with Neurofibromas present within. One example of how devastatingly complex the Neurofibroma can become is seen when a benign neurofibroma can cause a superior vena cava compression. Such was the case of a 21-year-old…… [Read More]
Endometriosis' is taken from the Greek work endon which means "within," metra, meaning "uterus" and osis, meaning "uncommon or sick state." Endometriosis is said to be very complicated and tiring gynecological sickness. This disease causes the functional endometrial stroma and glands grow outside of uterus that is usually present inside (the endometrium). These areas mostly consist of fallopian tubes, ovaries, gastrointestinal tract, rectovaginalseptum, bladder, pelvic peritoneum and unusually Pleura and pericardium. Endometriosis is a widespread disease most common in women who are in age of reproduction. This disease depends on estrogen and involves a chronic inflammatory component. Sampson was the first person to classify hemorrhagic ovarian lumps. He further explained these cysts as follicular, stromal, endometrial and corpus luteal. He also presented the endometrial hematomas based on thehistologic form. A number of categories have been formed after that, which is based on the histologic appearance, anatomic size, location and the…… [Read More]
history of Hempstead Village in Nassau County, New York, along with the demographics, the poverty statistics, and information pertaining to the problem of STDs (Chlamydia) in the community.
Brief History of Hempstead Village
The Reverend Robert Fordham and John Carman rowed across Long Island Sound in 1643 to negotiate with several Native American tribes (Massapequak, Mericoke, Rockaway and Matinecock) about buying land for a village. Subsequently, in the 1800s, Hempstead Village became a trading center and by 1853 it became incorporated as a village. Such notables from the American Revolution as George ashington enjoyed staying in Hempstead Village. The population of Hempstead Village skyrocketed after orld ar I, because many people in the City of New York preferred the suburban lifestyle (villageofhempstead.org).
Hempstead Village Facts -- Demographics & Poverty Rate
Today, according to the U.S. Census, the there are approximately 55,527 (as of 2014) residents in this town of 3.7…… [Read More]