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Cannabis Use Disorder and Perioperative Outcomes in Major Elective Surgeries A Retrospective Cohort Analysis
Conclusions An active cannabis use disorder is associated with an increased perioperative risk of myocardial infarction.Editor ’s PerspectiveWhat We Already Know about This TopicCannabis is known to have cardiovascular and psychoactive effectsThe association between active cannabis use disorder and postoperative outcomes remains unclearWhat This Article Tells Us That Is NewIn the United States, administrative data demonstrate that cannabis use disorder has increased in prevalence from 2010 to 2015Active cannabis use disorder is not associated with a change in overall perioperative morbidity, mortality, length of stay, or...
Source: Anesthesiology - March 10, 2020 Category: Anesthesiology Source Type: research

Menopausal Estrogen-Alone Therapy and Health Outcomes in Women With and Without Bilateral Oophorectomy: A Randomized Trial.
Conclusion: The effects of CEE did not differ by BSO status in the overall cohort, but some findings varied by age. Among women with prior BSO, in those aged 70 years or older, CEE led to adverse effects during the treatment period, whereas women randomly assigned to CEE before age 60 seemed to derive mortality benefit over the long term. Primary Funding Source: The WHI program is funded by the National Heart, Lung, and Blood Institute; National Institutes of Health; and U.S. Department of Health and Human Services. Wyeth Ayerst donated the study drugs. PMID: 31499528 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - September 9, 2019 Category: Internal Medicine Authors: Manson JE, Aragaki AK, Bassuk SS, Chlebowski RT, Anderson GL, Rossouw JE, Howard BV, Thomson CA, Stefanick ML, Kaunitz AM, Crandall CJ, Eaton CB, Henderson VW, Liu S, Luo J, Rohan T, Shadyab AH, Wells G, Wactawski-Wende J, Prentice RL, WHI Investigators Tags: Ann Intern Med Source Type: research

Hysterectomy for men – Richard ’ s story
My wife (now 65) has had a number of minor medical problems, both mental and physical, especially after reaching 40, and when she started having panic attacks, for which no-one could provide a positive reason or cure, she finally resorted to drugs, such as sertraline, much against her natural inclination. A known side-effect of this is increased weight.  My wife has never been really overweight, but, in common with so many women, is very sensitive about the subject (perhaps more so because I CANNOT put on weight!), so when she started to increase in girth, I was reluctant to mention it, for fear of upsetting her even more...
Source: The Hysterectomy Association - August 3, 2019 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Health hysterectomy stories ovarian cyst Source Type: news

Uterine Fibroids, Race, Ethnicity, and Cardiovascular Outcomes
AbstractPurpose of ReviewUterine fibroids are the cause of significant morbidity for women particularly women of racial and ethnic minorities. This review seeks to draw connections between fibroids and another cause of morbidity and mortality, cardiovascular disease. Fibroids are the most common neoplasm affecting women as well as the most common reason for undergoing hysterectomy. Heart disease is the leading cause of death for women in the USA, and heart disease and stroke disproportionately impact women of racial and ethnic minorities.Recent FindingsProspective studies in the last several years have revealed a higher pr...
Source: Current Cardiovascular Risk Reports - July 26, 2019 Category: Cardiology Source Type: research

Vaginal estrogen use and chronic disease risk in the Nurses’ Health Study
Conclusions: Vaginal estrogen use was not associated with a higher risk of cardiovascular disease or cancer. Our findings lend support to the safety of vaginal estrogen use, a highly effective treatment for genitourinary syndrome of menopause.
Source: Menopause - June 1, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Severe Maternal Morbidity in Canada: Temporal Trends and Regional Variations, 2003-2016.
CONCLUSION: This surveillance report helps inform clinical practice and public health policy for improving maternal health in Canada. PMID: 31060985 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - May 9, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Cesarean Hysterectomy in a Parturient With Morbidly Adherent Placenta Complicated by Postoperative Ischemic Stroke Secondary to Vertebral Artery Dissection: A Case Report
We report a case of cesarean hysterectomy in a parturient with morbidly adherent placenta that was complicated by an estimated blood loss of 25 L, with the usage of massive transfusion protocols. On the third postoperative day, symptomatology suggestive of a stroke was elicited. Imaging showed a right vertebral artery dissection with cerebellar, midbrain, and pontine infarcts. She showed gradual recovery in the following months with almost complete return to baseline function. We present this case to highlight vertebral artery dissection as a potential complication after peripartum massive blood transfusion and to consid...
Source: A&A Case Reports - January 1, 2019 Category: Anesthesiology Tags: Case Reports Source Type: research

The First Baby Has Been Born After a Uterus Transplant From a Deceased Donor
The world’s first baby born by a uterus transplant from a deceased donor is healthy and nearing her first birthday, according to a new case study published Tuesday in the Lancet. Uterus transplants have become more common in recent years, resulting in 11 live births around the world. But all of the other successful deliveries so far have been made possible by living donors — often women who opt to donate their uterus to a close friend or family member without one. The birth resulting from the case detailed in the Lancet, which took place at Brazil’s Hospital das Clínicas last December, is both the f...
Source: TIME: Health - December 4, 2018 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized fertility healthytime Source Type: news

Association between comorbidities and female sexual dysfunction: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)
ConclusionsComorbidities were associated with FSD and specific comorbidities associated with dysfunction in specific domains. Urogynecologists and urologists must assess for comorbidities, as women presenting with sexual dysfunction may provide an opportunity for early diagnosis of life-threatening conditions.
Source: International Urogynecology Journal - September 3, 2018 Category: OBGYN Source Type: research

Hysterectomy does not increase the risk of hemorrhagic or ischemic stroke over a mean follow-up of 6 years: A longitudinal national cohort study
Hysterectomy is one of the most common major gynecologic surgeries performed in women worldwide. The indications of hysterectomy are leiomyoma, menorrhagia, dysmenorrhea, endometriosis, chronic pelvic pain, pelvic organ prolapse, and gynecologic malignancy [1]. Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels and include coronary artery diseases, stroke, and other heart diseases [2]. In the obstetric and gynecologic field, there are several conditions with an increased risk of CVD, including preeclampsia, gestational hypertension, gestational diabetes mellitus (DM), polycystic ova...
Source: Maturitas - August 22, 2018 Category: Primary Care Authors: Hyo Geun Choi, Suk Woo Lee Source Type: research

Development of a core outcome set for trials on induction of labour (COSIOL): An international multi-stakeholder Delphi study.
CONCLUSION: Trials on induction of labour should include this core outcome set to standardise reporting. This article is protected by copyright. All rights reserved. PMID: 29981523 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - July 7, 2018 Category: OBGYN Authors: Dos Santos F, Drymiotou S, Antequera A, Mol BW, Gale C, Devane D, Van't Hooft J, Johnson MJ, Hogg M, Thangaratinam S Tags: BJOG Source Type: research

The risk of stroke after bilateral salpingo-oophorectomy at hysterectomy for benign diseases: a nationwide cohort study
Source: Maturitas - May 19, 2018 Category: Primary Care Authors: Jerry Cheng-Yen Lai, Yiing-Jenq Chou, Nicole Huang, Hung-Hui Chen, Kung-Liahng Wang, Chien-Wei Wang, I-Hsuan Shen, Hung-Chang Chang Source Type: research

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