A 38-Year-Old Woman Who Desires Device Removal after Hysteroscopic Sterilization

2021 ◽  
pp. 191-193
Author(s):  
Julia F. Switzer
Keyword(s):  
2013 ◽  
Vol 57 (5) ◽  
pp. 2391-2393 ◽  
Author(s):  
Jop Jans ◽  
Roger J. M. Brüggemann ◽  
V. Christmann ◽  
Paul E. Verweij ◽  
Adilia Warris

ABSTRACTInvasiveCandidainfections associated with medical devices are very difficult to cure without device removal. We present a case of neonatal cerebrospinal fluid shunt-associatedCandidameningitis, in which removal of the device was precluded, that was successfully treated with caspofungin. Pharmacokinetic assessment of caspofungin concentrations in cerebrospinal fluid showed that exposure was adequate in the presence of a high systemic exposure. In complex cases of neonatalCandidainfections involving medical devices, the addition of caspofungin might be beneficial.


Author(s):  
Amy M. Stoddard ◽  
Hanna Xu ◽  
Tessa Madden ◽  
Jenifer E. Allsworth ◽  
Jeffrey F. Peipert

2019 ◽  
Vol 59 (2) ◽  
pp. 225 ◽  
Author(s):  
Walvonvitis Baes Rodrigues ◽  
Jean do Prado Jara ◽  
Juliana Correa Borges ◽  
Luiz Orcirio Fialho de Oliveira ◽  
Urbano Pinto Gomes de Abreu ◽  
...  

The objective of this trial was to evaluate different post-timed artificial insemination (TAI) reproductive managements in postpartum beef cows to produce crossbred calves from artificial insemination (AI). Nellore cows (n = 607), with 45 days postpartum, were inseminated at a fixed time, using a protocol that included an intravaginal progesterone-releasing device along with oestradiol benzoate, prostaglandin, equine chorionic gonadotropin, and oestradiol cypionate, followed TAI 48 h post-device removal. Four post-TAI treatments were evaluated: in CONTROL (T1, n = 161), cows were exposed to Nellore clean-up bulls until the end of the breeding season (75 days). In OBSERVATION (T2, n = 132), heat detection was performed for 15–25 days post-TAI, followed by AI. In RESYNC22 (T3, n = 157) and RESYNC30 (T4, n = 157), resynchronisation started after 22 or 30 days, following second TAI at Day 32 or 40 days after first TAI. In T2, T3 and T4, after the second AI, cows were exposed to Nellore clean-up bulls until the end of the breeding season (75 days). The pregnancy rate (PR) for the first TAI did not differ (54.6%, 53.0%, 59.2%, and 51.6% for CONTROL, OBSERVATION, RESYNC 22, and RESYNC 30, respectively; P = 0.66), and no difference was observed for the second TAI (RESYNC 22 = 45.31% and RESYNC30 = 46.05%; P = 0.137), in the PR at the end of the breeding season (86.33%, 86.36%, 78.98%, and 81.52%, P = 0.43), or embryonic losses (4.54%, 2.85%, 6.45% and 7.40%, respectively; P = 0.61), but the percentage of crossbred pregnancy was higher in groups with resynchronisation (RESYNC22 and RESYNC30) than CONTROL and OBSERVATION (98.38%, 90.62%, 63.30%, 78.95%, P < 0.001). In conclusion, resynchronisation programs of 22 or 30 days are more efficient to produce AI products, and the final pregnancy rate is similar among the treatments, differing only in the amount of calves produced by AI.


2003 ◽  
pp. 46-51
Author(s):  
Victor Lazaron ◽  
Gregory J. Beilman
Keyword(s):  

ESC CardioMed ◽  
2018 ◽  
pp. 1723-1726
Author(s):  
Maria Grazia Bongiorni ◽  
Andrea Di Cori

Infection of cardiac implantable electronic devices is a severe disease associated with high mortality. Coagulase-negative staphylococci account for 70% of cases. Definite cardiac device-related infective endocarditis (CDRIE) diagnosis is particularly difficult and echocardiography and blood cultures are the cornerstones of diagnosis. Prognosis is poor and a definite treatment is mandatory. CDRIE must be treated by prolonged antibiotic therapy and complete device removal. Transvenous lead extraction is the gold standard, also in the presence of large vegetations. After extraction, the indication to reimplantation has to be reconsidered carefully and immediate reimplantation should be avoided.


Author(s):  
Caroline Janssen ◽  
William Barbour ◽  
Erin Hafkenschiel ◽  
Mark Abkowitz ◽  
Craig Philip ◽  
...  

This paper presents a micromobility scooter policy comparison between 10 mid-sized peer cities with respect to 12 policy dimensions. Because of the evolutionary nature of the policy, a temporal analysis of policy dimensions is required, which we conduct and present in this work. The impact of these individual policies reaches across the city itself, the operating company, and the mobility user—all of which are assessed throughout this work. Many of these policy dimensions are acute pain points for cities, such as fleet caps, permitting fees, and equity requirements. In the temporal analysis, some dimensions show not just happenstance variability in attempts to manage forms of micromobility, but appreciable trends. Approximately 1 year after the deployment of dockless electric scooters in cities throughout the United States and the world, cities have made multiple attempts at regulations and legislation to handle the new mobility mode. Throughout this time, cities have agreed from the start in some aspects of policy such as device removal, safety, speed limit, and bonds. In other dimensions, such as fleet expansion plans, equity regulations, and parking requirements, cities see directed movement over time toward a convergence point.


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