... BRCAPRO, and Myriad models are calculated by a product of the likelihood of carrying a particular mutation and the penetrance of that particular mutation for breast or ovarian cancer et al Gail et al ... of hereditary ovarian malignancies In a review of 80 patients who had ovarian cancer and who had a germline mutation in a mismatch-repair gene, a family history of an a ected first-degree relative, ... median age at diagnosis in the mid-forties By contrast, BRCA2associated ovarian cancers have a median age of onset of 63 years and can occur as late as the ninth decade of life [8] This observation...
... the American Public Health Association, the American Academy of Pediatrics, and the American Medical Association [8–10] Perhaps most importantly, 95% of parents of junior high school students and ... concept of reserving parenting for adulthood Similarly, the acceptance of sexual activity in young people and the pragmatic approach of making sex education and contraceptives readily available are ... abstinence-only-until-marriage education implies that the goal of avoiding premarital sex is an achievable one A recent publication analyzing data from the National Survey of Family Growth confirmed the near universality...
... subsequent dates mean that the patient has to be ‘‘pregnant longer.’’ Patient education is an essential part of prenatal care At the initial visit, general information regarding routine prenatal care ... and counseling Mother’s and father of baby’s ethnic and racial background Family history of congenital anomalies, such as neural tube defects and congenital heart defects Maternal and paternal ... eye, ear, nose, and throat) and neurologic examination Thyroid examination Dental status Cardiovascular examination Pulmonary examination Abdominal examination with emphasis on uterine size and...
... is also endorsed by the Society of Obstetricians and Gynecologists of Canada, the American Medical Association, the American Academy of Family Physicians, and numerous other national medical associations ... reassessment of her hematocrit at least once a trimester with treatment of anemia as indicated As stated, the goal is to maintain a hematocrit above 40% so that even a relatively large amount of peripartum ... positive, and unaware of available and appropriate interventions To raise the comfort level of medical staff and improve screening rates, educational programs are available that incorporate specific training...
... organ (eg, achalasia), are defined by the abnormal motility pattern of aperistalsis and impaired lower esophageal relaxation Clearly, a population-based study that involves an invasive diagnostic ... clinical practice For example, esophageal pH monitoring can evaluate patients for GERD Esophageal manometry can specifically diagnose achalasia and provide the rationale for effective treatments Anal ... nodose and jugular ganglia and project centrally to the brainstem, whereas the cell bodies of the spinal EPANs are located in the dorsal root ganglia Vagal afferent pathways carry information about...
... fetal and neonatal mortality by maternal characteristics and plurality to offer a clearer understanding of the extent to which the association of traditional maternal risk factors with fetal and ... death comparable to that of average aged mothers (20–34 years) High gravidity for age was a highly protective factor for all plurality groups Neonatal mortality by maternal characteristics Maternal ... Perinatal and neonatal care practices that may influence these findings have changed profoundly in recent years The widespread use of antenatal glucocorticoids and postnatal surfactant therapy has...
... anatomic site of tumor, or histology Fetal and infant melanoma caused by metastasis There has been no population-based investigation of melanomas that arose from metastasis of maternal melanoma to the ... uncommon variant, pigment-synthesizing melanoma J Am Acad Dermatol 2002;47:77 – 90 [59] Alexander A, Samlowski WE, Grossman D, et al Metastatic melanoma in pregnancy: risk of transplacental metastases ... Radiotherapeutic management of cervical carcinoma that complicates pregnancy Cancer 1997;80:1073 – Sklar C Maintenance of ovarian function and risk of premature menopause related to cancer treatment...
... disorders are a major cause of nondental pain in the orofacial region, and are considered to be a subclassification of musculoskeletal disorders Orofacial pain and TMD can be associated with pathologic ... that BoNT has reasonable RBCT data to support its use as a migraine prophylaxis therapy The major caveat is that the use of BoNT in chronic orofacial pain is ‘‘off-label’’ Complementary and Alternative ... analgesia The potential mechanisms involved, as well as implications for future research and clinical practice, are discussed Epidemiology of orofacial pain Orofacial pain refers to a large group...
... libertarian and anti-materialist language of an earlier generation of homeopathic advocates resonated with countercultural youth In her 1960 address as president of the American Institute of Homeopathy, ... way, and have been examined a great many times in school for vaccination, and the scars have always been regarded as genuine vaccination scars.70 The advice appeared in the periodical Medical Talk ... unnecessary operations.61 Another indication of this attitude are the words of the editor of Medical Talk for the Home, a journal that came out against what it saw as the tyranny of the medical establishment...
... Quade B Angioleiomyoma Geneva7 World Health Organization; 2001 Vaillo-Vinagre A, Ballestin-Carcavilla C, Madero-Garcia S, et al Primary angioleiomyoma of the iliac bone: clinical pathological ... fibroids) are a prevalent and morbid disease Leiomyomas place an enormous health care burden on American women, and disproportionately affect African American women Despite their prevalence, the disease ... initiators of sexual activity, or as a marker for metrorrhagia, which in and of itself could be a uterine irritant Starting oral contraceptives at a young age could be a marker for other risk factors...
... pregnancy, decreased PAPP -A levels—as a result of abnormal placentation or abnormal placental function—is a precedent to fetal death in utero In a series of 5297 patients who had a miscarriage rate ... trimester of the pregnancy, the data are inadequate to support any conclusion [64,65] A meta-analysis of randomized trials of pregnancies that were treated with progestational agents failed to find any ... Nushetite Cad., Deryadil Sok No: 1, Besiktas, Istanbul, Turkey The hormonal changes and maternal adaptations of human pregnancy are among the most remarkable phenomena in nature Endocrinologic parameters...
... Stockman A, Boralevi F, Taieb A, et al SACRAL syndrome: spinal dysraphism, anogenital, cutaneous, renal and urologic anomalies, associated with an angioma of lumbosacral localization Dermatology ... into vascular tumors and vascular malformations.4 This classification of vascular anomalies has been widely a Department of Dermatology, Harvard Medical School, c/o Massachusetts General Hospital, ... PHACE syndrome The association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities Arch Dermatol 1996;132(3):...
... individuals, as well as those by consumer advocacy groups A variety of national and regional organizations, such as the National Patient Safety Foundation and the AHA, state and regional coalitions, ... Veteran’s Health Administration, having already established a VA National Center for Patient Safety in 1998 headed by former astronaut and physician, James Bagian, established four patient safety ... Wisconsin, a perinatal nurse accidentally administered a bag of epidural analgesia intravenously, containing a combination of bupivacaine and fentanyl instead of the prescribed penicillin This 16-year-old...
... great outdoors Graduating at the top of his Dartmouth class, Marsh taught Greek and Latin for a time at a military academy He became a lawyer, a politician, and eventually was appointed as ambassador ... California established a State Board of Forestry and granted it police powers two years later Federal action aimed at forest conservation began about the same time In 1874, an American Association ... science of forestry is a complex amalgamation of the biological, physical, managerial, social, and political sciences Few, if any, forestry professionals are able to treat all aspects of forest...
... no assurance that teaching, learning, and practice in either setting meet any ethical standards Presently, actions against physicians at any level of practice are based primarily on patient care ... cases, animal models are limited because the chosen animal anatomy may not accurately represent human anatomy Tissues and organs tend to be smaller than the human analog, and the resident trainee ... teaching, and evaluating the curriculum When developing a management plan, a surprising amount of detail emanates from a global curricular concept or goal Without a management plan, details may be...
... successful and wealthy? In a national study of Canadians, researchers rated individuals on a to attractiveness scale They found that for each additional scale of attractiveness, people earned an additional ... of ethics and code of professional conduct American Dental Association Available at: http://www.ada.org/prof/prac/law/code/index.asp Accessed February 16, 2007 [2] The internal encyclopedia of ... high demand today The anatomy of the anterior teeth plays an important role in a natural appearance and the individuality and personality ofa smile Some anterior teeth are flat and some are convex...
... Several nations have cautioned dentists against placing amalgam restorations in pregnant women, and Denmark limits amalgam to molar teeth Few amalgam restorations are placed in Japan, Finland, and ... the United States, Canada, and the United Kingdom than in Europe, Scandinavia, and Australia Long-term data from longitudinal studies that have become available over the last 10 years have made ... Working Group on Dental Amalgam Dental amalgam and alternative restorative materials US Department of Health and Human Services, Public Health Service; 1997 Available at: http://www.health.gov/environment/amalgam2/National.html...
... medical literature applicable to primary care We also address how primary care physicians can critically evaluate an article, when necessary, and assess its validity and applicability as well as ... diabetes Previous diagnosis of prediabetes (IFG) Age ‚45 years First-degree relative (parent or sibling) with diabetes Race/ethnicity (African American, American Indian or Alaska Native, Asian, ... years [61] Diabetes can a ect every part of the eye (eg, corneal disease, cataracts, glaucoma, and retinopathy) and is the leading cause of new cases of blindness among adults aged 20 to 74 years...
... teeth and tooth restorations And, just as with natural teeth, inflammation can cause alterations of soft tissues and their anatomic relationships Fundamental to the dimensions and anatomy of the soft ... several methods are available for measuring surface roughness, and more than 150 parameters can be calculated to characterize surface topography The parameters may reflect vertical height of surface ... approach places the top of the implant at the alveolar crest and the mucosa is sutured over the implant An alternative approach places the coronal aspect of the implant coronal to the alveolar...