Doctors should 'wait longer' before diagnosing miscarriage

ConclusionThis observational study reviewed the reliability of different measurements taken at a transvaginal ultrasound scan to diagnose miscarriage during early pregnancy. The recommended cut-off values for gestational sac diameter and embryo crown-to-rump length were changed in 2011 based on a number of reports, with mixed findings suggesting previous ones may have been unreliable. This study looked at the performance of currently used cut-off values, and found that the current cut-offs used to diagnose miscarriage are reliable. No healthy, continuing pregnancies would be wrongly diagnosed as miscarriage using these values.However, a finding of note was that if a repeat scan is needed to confirm miscarriage, there are some issues around timing. If there is a gestational sac only, with no embryo present, reliable diagnosis can be harder, and researchers say there should be a wait of two weeks rather than one before carrying out a repeat scan. This reduces the chance of incorrect diagnosis from 2% to 0%. If an embryo is identified at the first scan, then interpretation of miscarriage is more straightforward and timing between scans is less of an issue. This study has a number of strengths, namely a prospective design and large sample size, with measurements taken by experienced professionals, thereby increasing the certainty of the findings. However, there was no available data for 337 women and this may have influenced results. Miscarriages are common, can happen for m...
Source: NHS News Feed - Category: Consumer Health News Tags: Medical practice Pregnancy/child Source Type: news

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Phys. Chem. Chem. Phys., 2018, Advance Article DOI: 10.1039/C8CP04869J, PaperMarija Marolt, Steffen L üdeke NAD(P)H-titration circular dichroism spectra of alcohol dehydrogenases tell us how strong and in what conformation the cofactor binds to the enzyme. To cite this article before page numbers are assigned, use the DOI form of citation above. The content of this RSS Feed (c) The Royal Society of Chemistry
Source: RSC - Phys. Chem. Chem. Phys. latest articles - Category: Chemistry Authors: Source Type: research
ConclusionThis case reinforce the concomitant assessment in two different pathologies. Although there is one case reported before, this case lead to improvement in the treatment of these patients.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conclusion These data provide epidemiological evidence that meeting physical activity guidelines or being fit reduces the risk of developing glaucoma.
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: EPIDEMIOLOGY Source Type: research
This study aimed to characterize the force–length relationship of muscles involved in wrist and metacarpophalangeal flexion. Methods Eleven participants performed two sessions: (i) one for the wrist flexor muscles and (ii) one for the finger flexor muscles. For each session, the participants performed two maximal voluntary contractions and then two progressive isometric ramps from 0% to 100% of their maximal force capacity at five different wrist/metacarpophalangeal angles. Torque, kinematic, and electromyographic data were recorded. An ultrasound scanner was used to measure the myotendinous junction displacement ...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: APPLIED SCIENCES Source Type: research
Anxiety is a common symptom of menopause but it can often be overlooked. Dr Meg Arroll, a psychologist and women's health expert, reveals ways to tackle anxiety during this time.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
BACK pain could be prevented by watching your diet, or by swapping your sleep position. You could also lower your risk of lower back pain symptoms by adding more of this cheap vegetable to your daily routine.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Authors: Pascal de Raykeer R, Hoertel N, Blanco C, Olfson M, Wall M, Seigneurie AS, Schuster JP, Lemogne C, von Gunten A, Limosin F Abstract OBJECTIVE: Several common psychiatric disorders are associated with increased risk of suicide attempts, and the strength of these associations may vary between younger and older adults, which may explain age differences in suicide risk. Because psychiatric disorders often co-occur, it remains unclear whether (1) the risk of suicide attempt in older and younger adults is due to specific psychiatric disorders or underlying psychopathology dimensions (ie, internalizing and extern...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
Publication date: March 2019Source: Human Pathology: Case Reports, Volume 15Author(s): Yuichi Shibui, Kenichi Kohashi, Ichiro Sakamoto, Kenichiro Yamamura, Yoshinao OdaAbstractA long duration of Fontan circulation can cause fibrosis, cirrhosis of the liver and liver cancer. There have been some reports of hepatocellular carcinoma occurring after the Fontan procedure (FP), and we encountered a case of intrahepatic cholangiocarcinoma (ICC) after the FP. We herein report the case of 33-year-old man who developed ICC after receiving the FP. At five years of age, the patient underwent the original FP. At 16 years of age, he r...
Source: Human Pathology: Case Reports - Category: Pathology Source Type: research
Publication date: Available online 29 September 2018Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Olaa Mohamed-Ahmed, Kim Hinshaw, Marian KnightAbstractDuring the past decade, there has been an increase in the awareness of infections associated with pregnancy and delivery. The most significant cause of post-partum infection is caesarean section, with 20–25% of operations, followed by wound infections, endometritis or urinary tract infections. Approximately 13% of women in the UK undergo operative vaginal delivery (OVD) with forceps or vacuum, which is also associated with an incre...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
We present diffusion tensor tractography (DTT) findings in a case of hypertrophic olivary degeneration (HOD) and cerebellar ataxia. A 56-year-old man presented with abnormal ataxic gait and dysarthria. MRI 5 months after onset showed chronic pontine hematoma and enlarged bilateral inferior olivary nuclei. DTT showed decreased volume of the bilateral central tegmental tract, in accordance with the conventional hypothesis that HOD is associated with neurologic insult to the Guillain-Mollaret triangle. The patient ’s cerebellar ataxia was speculated to be due to decreased decussating fibers of the superior cerebellar pe...
Source: Case Reports in Neurology - Category: Neurology Source Type: research
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