Evidence-Based Indications for Treatment of Uterine Fibroids in Gynecology

Fibroids ◽  
2013 ◽  
pp. 24-35 ◽  
Author(s):  
James L. Nodler ◽  
James H. Segars
Keyword(s):  
Uterine Fibroids ◽  
Evidence Based ◽  
Indications For Treatment

A review of evidence-based management of uterine fibroids

2016 ◽  
Vol 18 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Kinza Younas ◽  
Essam Hadoura ◽  
Franz Majoko ◽  
Adnan Bunkheila
Keyword(s):  
Uterine Fibroids ◽  
Evidence Based

Development of an evidence-based classification system for uterine fibroids

2009 ◽  
Vol 92 (3) ◽  
pp. S128 ◽  
Author(s):  
J.B. Davis ◽  
M.S. Broder ◽  
W.H. Catherino ◽  
R.W. Rebar ◽  
V.W. Pinn ◽  
...  
Keyword(s):  
Classification System ◽  
Uterine Fibroids ◽  
Evidence Based

An evidence-based guideline for the management of uterine fibroids

2001 ◽  
Vol 41 (2) ◽  
pp. 125-140 ◽  
Author(s):  
C Farquhar ◽  
B Arroll ◽  
A Ekeroma ◽  
G Fentiman ◽  
A Lethaby ◽  
...  
Keyword(s):  
Uterine Fibroids ◽  
Evidence Based ◽  
Evidence Based Guideline

The Effect of Uterine Fibroids on Infertility: A Systematic Review

2017 ◽  
Vol 35 (06) ◽  
pp. 523-532 ◽  
Author(s):  
Rachel Whynott ◽  
Kamaria Vaught ◽  
James Segars
Keyword(s):  
Pregnancy Outcomes ◽  
Uterine Artery ◽  
Focused Ultrasound ◽  
Uterine Fibroids ◽  
Artery Occlusion ◽  
Vitamin D Supplementation ◽  
Evidence Based ◽  
Focused Ultrasound Surgery ◽  
Future Pregnancy ◽  
Invasive Techniques

AbstractFibroids are present in up to 27% of patients seeking reproductive assistance, and can affect fertility through cavity distortion, alteration of endometrial receptivity, and sexual function. Surgical, noninvasive, and medical approaches have been developed to manage fibroids, but evidence-based data regarding their safety and efficacy for the treatment of infertility and the effects on pregnancy outcome are limited. Myomectomy, through minimally invasive techniques, is the most evidence-based approach to fibroids in women planning conception, and increases pregnancy rates by up to 68% in previously infertile patients. Laparoscopic uterine artery occlusion is under investigation as an alternative and simpler surgical approach to decrease fibroid size. Uterine artery embolization is not recommended for women intending future pregnancy, as the rate of spontaneous abortion (SAB) is up to 64% and the rate of abnormal placentation is 12.5%. Magnetic resonance imaging–guided focused ultrasound surgery is gaining interest as a noninvasive procedure with positive preliminary pregnancy outcomes, but appears to have an SAB rate of 20.6%. Selective progesterone receptor modulators, aromatase inhibitors, and vitamin D supplementation are under investigation to improve uterine conditions for pregnancy. Submucosal and intramural fibroids affect fertility and pregnancy outcomes and should be addressed during infertility workup.

Abstraction: An alternative neurocognitive account of recognition, prediction, and decision making

2020 ◽  
Vol 43 ◽  
Author(s):  
Valerie F. Reyna ◽  
David A. Broniatowski
Keyword(s):  
Decision Making ◽  
Software Engineering ◽  
Systems Engineering ◽  
Evidence Based ◽  
Extensive Literature ◽  
Trace Theory ◽  
Fuzzy Trace Theory ◽  
Abstract Representations ◽  
Technical Systems

Abstract Gilead et al. offer a thoughtful and much-needed treatment of abstraction. However, it fails to build on an extensive literature on abstraction, representational diversity, neurocognition, and psychopathology that provides important constraints and alternative evidence-based conceptions. We draw on conceptions in software engineering, socio-technical systems engineering, and a neurocognitive theory with abstract representations of gist at its core, fuzzy-trace theory.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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