Features of pulmonary thromboembolism in women

Kardiologiia ◽  
2021 ◽  
Vol 61 (11) ◽  
pp. 89-97
Author(s):  
O. Ya. Vasiltseva ◽  
K. N. Vitt ◽  
A. M. Cherniavsky

Pulmonary artery embolism (PAE) is usually a diagnosis of exclusion. Verification of a more common pathology takes time, which may become critical for treatment of pulmonary embolism and saving the patient’s life. Since PAE is an acute disease, the time window for medical care largely determines the prognosis. Therefore, the differential diagnostic process should include thromboembolism already at the first visit. It is important to determine risk factors for PAE taking into account the patient’s personality and gender. Obtained data may help the physician to determine quickly the expedience of visualizing studies, such as ventilation/perfusion scintigraphy, angiopulmonography, computed tomographic angiopulmonography. For women, it is important to collect specific information, such as the presence of large uterine fibroids, use of combined oral contraceptives or hormonal replacement therapy; to ask how long ago the patient had pregnancy and delivery, whether she has thrombophilia or oncological diseases.

Water Policy ◽  
2007 ◽  
Vol 10 (1) ◽  
pp. 1-24 ◽  
Author(s):  
Sarah O'Hara ◽  
Tim Hannan ◽  
Maria Genina

The Millennium Development Goals (MDGs), designed to combat global poverty and hunger, protect the environment, improve health and sanitation and promote education and gender equality, were agreed at the UN Millennium Summit in September 2000. The importance of access to clean water in the overall MDG process has been highlighted and shown to contribute to all other goals and targets. Goal 7 target 10 aims to “halve, by 2015, the proportion of people without sustainable access to safe drinking water and improved sanitation”, compared with 1990. The aim of this MDG is clear and considered to be achievable in most countries. However, it is argued that the base data upon which the targets are set and against which progress will be measured can be problematic, partly because of reliance on poor government information and also on the apparent need of the UN to have a consistent base year and set of definitions across the world. In this paper, we report the findings of a major water and sanitation survey conducted in Kazakhstan designed specifically to quantify the current level of access, providing the base upon which to determine implementation priorities and against which to measure progress. As well as providing country-specific information the survey highlighted several important issues that have more general relevance. We raise three major questions associated with Target 10: how to define “access”, how to define “improved source” or “improved sanitation” and whether 1990 is always an appropriate base year. Moreover, we argue that there is need to reconsider the way progress is monitored and that the focus on global comparisons is detrimental to making real progress. In conclusion we argue that improving water supply and sanitation can be done in a way that is (1) appropriate for the country, (2) feasible (and fairly easy) to monitor progress and (3) more likely to be accepted by government as there is a sense of relevance.


2019 ◽  
Vol 40 (33) ◽  
pp. 2824-2824
Author(s):  
Srdjan Kostic ◽  
Stefan Guth ◽  
Georg Bachmann ◽  
Christian W Hamm ◽  
Roland Klingenberg

2017 ◽  
Vol 23 (2) ◽  
pp. 185-186
Author(s):  
Anthony Michael Sammel ◽  
Sebastian Fung ◽  
Abdullah Omari

1992 ◽  
Vol 15 (7) ◽  
pp. 545-546 ◽  
Author(s):  
Frede Gabrielsen ◽  
Arnold Schmidt ◽  
Thomas Eggeling ◽  
Martin Hoeher ◽  
Matthias Kochs ◽  
...  

2014 ◽  
Vol 4 (4) ◽  
pp. 353-358 ◽  
Author(s):  
Dmitry Duplyakov ◽  
Elena Kurakina ◽  
Tatyana Pavlova ◽  
Sergey Khokhlunov ◽  
Elena Surkova

1898 ◽  
Vol 12 (4) ◽  
pp. 548-549
Author(s):  
A. A. Maksimov

Abstracts. Review of Obstetric and Gynecological literature: Russian.A.A. Maksimov. On the issue of pulmonary embolism . (Journal. Russian. General. Protection. Nar. Health. 1897,. No. 11, p. 647).Schmorl, who discovered pulmonary artery embolism with cells later, identified this phenomenon as the cause of eclampsia in pregnant women. Lubarsch considered embolism as a consequence of all sorts of seizures in pregnant women. Kasyanov, who found embolism in all pregnant women, suggested that this is a physiological phenomenon that occurs during every pregnancy. The author studied the lungs in 40 pregnant rabbits and was convinced that, under normal conditions, the rabbit does not have pulmonary embolism with shorts after.


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