169 Do international experts in fertility preservation adress sexual problems in fertility-treatment? Igls-Vienna-SexMed-Survey-Program: Reproductive Medicine Experts' Self-Assessment-Results at the 5th biennal World Congress for Fertility Preservation, Vienna, November 2017

2018 ◽  
Vol 15 (7) ◽  
pp. S201
Author(s):  
L. Ucsnik ◽  
A. Kottmel ◽  
J. Bitzer ◽  
B. Teleky ◽  
D. Meirow ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Reproductive Medicine ◽  
Sexual Problems ◽  
Fertility Treatment ◽  
World Congress ◽  
Self Assessment ◽  
International Experts ◽  
Assessment Results

scholarly journals Fertility Preservation Counselling for Women With Endometriosis: A European Online Survey

2021 ◽  
Author(s):  
Nicole Sänger ◽  
Marco Menabrito ◽  
Atillio Di Spiezo Di Spiezo Sardo ◽  
Josep Estadella ◽  
Jasper Verguts
Keyword(s):  
Fertility Preservation ◽  
Ovarian Reserve ◽  
Reproductive Medicine ◽  
Online Survey ◽  
Fertility Treatment ◽  
Deep Endometriosis ◽  
Management Guidelines ◽  
Ovarian Cortex ◽  
Current Fertility ◽  
Infertile Patients

Abstract Background: Endometriosis is a common cause for infertility. Decreased ovarian reserve due to pathology or surgical management can reduce the chances of natural pregnancy and limit the effectiveness of controlled ovarian stimulation during fertility treatment. Cryopreservation of oocytes or ovarian cortex prior to surgery or before loss of follicular capital are strategies to preserve fecundity. Methods: An online survey was sent to reproductive specialists and gynaecological surgeons representing major centers of reproductive medicine in Europe to investigate current fertility preservation practices for endometriosis patients. Results: Of 58 responses, 45 (77.6%) in 11/13 countries reported the existence of endometriosis management guidelines, of which 37/45 (82.2%) included treatment recommendations for infertile patients. Most centers (51.7%) reserved fertility counselling for severe endometriosis (large endometriomas with or without deep endometriosis) while 15.5% of centers did not offer fertility preservation for endometriosis. Conclusions: To address non-uniformity in available guidelines and the diversity in fertility preservation practices, we propose an algorithm for managing patients with severe endometriosis most likely to be impacted by reduced ovarian reserve. Improved awareness about the possibilities of fertility preservation and clear communication between gynaecological surgeons and reproductive medicine specialists is mandatory to address the unmet clinical need of preventing infertility in women with endometriosis.

Advances in Fertility Preservation for Young Women With Cancer

2018 ◽  
pp. 27-37 ◽  
Author(s):  
Karen Lisa Smith ◽  
Clarisa Gracia ◽  
Anna Sokalska ◽  
Halle Moore
Keyword(s):  
Fertility Preservation ◽  
Young Female ◽  
Current Data ◽  
Reproductive Age ◽  
Fertility Treatment ◽  
Ovarian Suppression ◽  
Female Patients ◽  
Ovarian Protection ◽  
Future Fertility ◽  
Reproductive Techniques

Female patients of reproductive age with cancer often require treatment that can compromise their future fertility. Treatment-related infertility is an important cancer survivorship issue and is associated with depression and diminished quality of life. Recent advances in reproductive health care provide the opportunity to preserve fertility prior to the initiation of cancer therapy. Clinical guidelines recommend that oncology providers counsel patients about the risk of treatment-related infertility and fertility preservation options, and that they refer those who are interested in fertility preservation to fertility specialists. Guidelines endorse the use of assisted reproductive techniques (ART) provided by reproductive endocrinologists to preserve fertility in young female patients with cancer. In addition, ovarian suppression with gonadotropin-releasing hormone (GnRH) agonists may be considered for ovarian protection during chemotherapy. This article reviews currently available and emerging ART for fertility preservation in female patients of reproductive age with cancer and current data supporting the use of ovarian suppression for ovarian protection during chemotherapy in this population. We also review the uptake of fertility services and discuss barriers to fertility preservation in female patients of reproductive age with cancer.

Inclusive Education: Perspectives on Implementation and Practice From International Experts

2018 ◽  
Vol 56 (6) ◽  
pp. 471-485 ◽  
Author(s):  
Jennifer A. Kurth ◽  
Amanda L. Miller ◽  
Samantha Gross Toews ◽  
James R. Thompson ◽  
Mónica Cortés ◽  
...  
Keyword(s):  
Inclusive Education ◽  
Group Discussion ◽  
Policy Research ◽  
World Congress ◽  
Research And Practice ◽  
Contextual Elements ◽  
Research Findings ◽  
The Right ◽  
International Experts ◽  
Annual World

Abstract Every child has the right to an education, including children with disabilities. Research findings from across the globe have shown the benefits of inclusive education, and mandates for providing accessible, inclusive education can be found in national policies and international agreements as well. This article explores the perspectives of 11 international experts on the state of inclusive education in countries spanning 5 continents. Experts participated in a focus group discussion at Inclusion International's 17th Annual World Congress 2018 in Birmingham, United Kingdom. Participants shared multifaceted factors impacting inclusive educational practices. Based on their experiences, participants also discussed strategies that were deemed effective or ineffective depending on varied contextual elements. Implications for policy, research, and practice are discussed.

scholarly journals Concept Paper on the Technique of Cryopreservation, Removal and Transplantation of Ovarian Tissue for Fertility Preservation

2018 ◽  
Vol 79 (01) ◽  
pp. 53-62 ◽  
Author(s):  
Matthias Beckmann ◽  
Laura Lotz ◽  
Bettina Toth ◽  
Dunja Baston-Büst ◽  
Tanja Fehm ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Fertility Preservation ◽  
Reproductive Medicine ◽  
Birth Rate ◽  
Ovarian Tissue ◽  
Established Method ◽  
Female Patients ◽  
Oncological Therapy ◽  
German Speaking ◽  
Fertility Protection

AbstractThe cryopreservation of ovarian tissue with subsequent transplantation of the tissue represents an established method of fertility protection for female patients who have to undergo gonadotoxic therapy. The procedure can be performed at any point in the cycle and thus generally does not lead to any delay in oncological therapy. With the aid of this procedure, more than 130 births to date worldwide have been able to be recorded. The birth rate is currently approximately 30% and it can be assumed that this will increase through the further optimisation of the cryopreservation and surgical technique. The concept paper presented here is intended to provide guidance for managing cryopreservation and transplantation of ovarian tissue to German-speaking reproductive medicine centres.

scholarly journals Fertility Preservation for Cancer Patients: A Review

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Tosin Ajala ◽  
Junaid Rafi ◽  
Peter Larsen-Disney ◽  
Richard Howell
Keyword(s):  
Cancer Patients ◽  
Fertility Preservation ◽  
Cancer Care ◽  
Ethical Issues ◽  
Fertility Treatment ◽  
Term Survival ◽  
Long Term Survival ◽  
Valid Consent ◽  
Cure Rates

Infertility can arise as a consequence of treatment of oncological conditions. The parallel and continued improvement in both the management of oncology and fertility cases in recent times has brought to the fore-front the potential for fertility preservation in patients being treated for cancer. Oncologists must be aware of situations where their treatment will affect fertility in patients who are being treated for cancer and they must also be aware of the pathways available for procedures such as cryopreservation of gametes and/or embryos. Improved cancer care associated with increased cure rates and long term survival, coupled with advances in fertility treatment means that it is now imperative that fertility preservation is considered as part of the care offered to these patients. This can only be approached within a multidisciplinary setting. There are obvious challenges that still remain to be resolved, especially in the area of fertility preservation in prepubertal patients. These include ethical issues, such as valid consent and research in the area of tissue retrieval, cryopreservation, and transplantation.

scholarly journals Empowering Student Learning Through Rubric-Referenced Self-Assessment*

2012 ◽  
Vol 26 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Xiaohua He ◽  
Anne Canty
Keyword(s):  
Treatment Group ◽  
Student Learning ◽  
Student Performance ◽  
Assessment Tool ◽  
Comparison Group ◽  
Learning Tool ◽  
Self Assessment ◽  
Chiropractic Students ◽  
Assessment Results

Purpose: The purpose of this study was to investigate the effect of rubric-referenced self-assessment on performance of anatomy assignments in a group of chiropractic students. Methods: Participants (N = 259) were first-quarter students who were divided into a treatment group (n = 130) and a comparison group (n = 129). The intervention for both groups involved the use of rubrics to complete the first draft of assignments. General feedback was given by the instructor, and then the students had the opportunity to amend the assignments before resubmission (second draft). The treatment group, however, was also asked to perform rubric-referenced self-assessment of their assignments during their second draft. Although the comparison group was also provided with the identical rubrics for the assignments, the students in this group did not perform rubric-referenced self-assessment. Results: The results revealed that the students in the treatment group who used a rubric-referenced self-assessment learning tool received statistically significant higher scores than the comparison group, who did not use this rubric-referenced self-assessment tool. Conclusion: This study suggests that practicing rubric-referenced self-assessment enhances student performance on assignments. However, educators continue to face the challenge of developing practical and useful rubric tools for student self-assessment.

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