Endometriosis - what's the right treatment ?

Endometriosis has always been a tricky problem . We still don't understand who gets endometriosis ; what causes it; and why there is such little correlation between the extent of the disease and their patient's symptoms. There are still lots of unresolved questions, which is why there are so many controversies about the impact of endometriosis on fertility . This is why patients with endo are so confused about which is the right treatment for them. After all , if doctors are confused , it is highly likely that patients are going to be completely perplexed as well . This is why patients find that they get diametrically opposite advise , depending on which particular doctor they go to.  Thus, is a patient with a chocolate cyst goes to a general gynecologist , she is likely to advise medical therapy by putting her on Lupron depot , in order to suppress her menstruation , which will offer her pain relief . If she goes to a laparoscopic surgeon , he is likely to advise laparoscopic conservative surgery , to remove the chocolate cyst. And if she goes to an IVF specialist for a third opinion, he is quite likely to tell her to do IVF so that she can get pregnant quickly , which will cause the symptoms to get better, and will often cause the endo to  regress as well.While every doctor will tell you the advantages of the treatment option they are offering,unfortunately they will not tell you the disadvantages of each of their treatment modalities . Thus, while medical therapy...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs

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In this study, we collected raw water from different elements of a local full-scale plant to investigate the fouling characteristics along a two-stage-module NF process. The fouled membranes at different flux decline ratios were autopsied according to scanning electron microscope (SEM), atomic force microscope (AFM), Fourier transform infrared spectroscopy (FTIR), X-ray photoelectron spectrometer (XPS), adenosine triphosphate (ATP), contact angle and zeta potential measurements to track the dynamic evolution of organic, inorganic and biological fouling. Statistical approaches, including principal component analysis (PCA), ...
Source: Journal of Membrane Science - Category: Materials Science Source Type: research
Publication date: Available online 19 February 2020Source: Prostaglandins &Other Lipid MediatorsAuthor(s): Anne Barden, Michael Phillips, Emilie Mas, Lisa M. Hill, Ian Mowat, P.S. Loh, Tomas Corcoran, Trevor A. Mori
Source: Prostaglandins and Other Lipid Mediators - Category: Lipidology Source Type: research
This study was aimed to estimate the prevalence of chronic pain in different regions of China. Data on pain and its treatment were collected from 9357 participants using questionnaires and telephone-based interviews, from 31 regions of China. Gathered data were then coded into electronic data acquisition system and descriptive and inferential statistical analysis was performed. Out of 9298 participants, the ratio of chronic pain was 31.54% with the proportion of male having chronic pain (33.86%) was higher than that of female (29.53%). The average age of participants with pain (45.02 ± 15.07 years) was higher than f...
Source: Libyan Journal of Medicine - Category: General Medicine Tags: Libyan J Med Source Type: research
Publication date: Available online 18 February 2020Source: Trends in Food Science &TechnologyAuthor(s): Xiaotian Zhang, Min Zhang, Benu AdhikariAbstractBackgroundDeep-fat frying is one of the most popular food processing methods worldwide. It involves simultaneous transfer of heat and mass at high temperature. Typical fried products tend to have bright color, crisp texture and delicious taste. In fact, fried foods contain large amount of oil, calories and acrylamide which are burden to health. It is necessary to develop innovative frying technologies to reduce oil absorption during frying process, thus obtain healthier...
Source: Trends in Food Science and Technology - Category: Food Science Source Type: research
Conclusion: This study supports the psychometric properties of the Norwegian Self-Efficacy for Therapeutic Use of Self questionnaire in assessing self-efficacy in therapeutic encounters. Further research is needed to address the misfit items and the rating scale issue.Significance: Rasch analysis showed that the Norwegian Self-Efficacy for Therapeutic Use of Self questionnaire is promising to be used as a reliable and valid tool. PMID: 32065554 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - Category: Occupational Health Tags: Scand J Occup Ther Source Type: research
Conclusion: People who are overweight or obese are motivated to lose weight because of health issues and feeling more comfortable with their body. The opportunities for weight loss lie in creating habits, routines and structuring everyday life activities to facilitate a healthier lifestyle.Significance: The findings indicate that an occupational therapist should be part of weight-loss interventions. PMID: 32065553 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - Category: Occupational Health Tags: Scand J Occup Ther Source Type: research
Publication date: March 2020Source: Results in Physics, Volume 16Author(s): Sheng Zou, Hanbin Xiao, Fangping Ye, Zongchen Li, Wenzhi Tang, Feng Zhu, Chentong Chen, Chao ZhuAbstractThe inevitably formed residual stress in the Selective Laser Melting (SLM) process leads to distortion, crack and even delamination of the workpiece. Single laser is commonly applied during SLM processing. However, its productivity is much lower than multiple lasers. In addition, the research of residual stress with multi-laser condition currently is limited in the open documents. In this paper, a three-dimensional (3D) thermo-mechanical model, w...
Source: Results in Physics - Category: Physics Source Type: research
PMID: 32068583 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
PMID: 32068588 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
ConclusionsDespite published reports showing benefit for pain control in patients with BPA, the overall low quality, retrospective evidence included in this review highlights the need for a rigorous prospective study to further address this indication.
Source: Neuromodulation: Technology at the Neural Interface - Category: Biotechnology Authors: Tags: Review Article Source Type: research
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