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Endometriosis - ECAB
Endometriosis is a condition that often leads to a variety of symptoms that range from pain complaints to infertility. Endometriosis is also found in women who are asymptomatic. The diagnosis of endometriosis can be made clinically with reliability similar to that of one made surgically. Medical treatment options are effective, as are surgical treatment options. Complications associated with surgery, however, push the balance in favor of medical therapy whenever possible. Based on the body of evidence available at present, women with endometriosis-related complaints should be treated with a first-line medical therapy. If that fails, a second-line medical therapy is warranted under most conditions. Laparoscopic surgery should be reserved for patients in whom second-line medical therapy has failed or is contraindicated by desire to conceive immediately or as soon as possible.
Hysterosalphingogram: Made Easy to Read
This book gives an insight of both clinical and practical setup for performing HSG and is the result of seeing many HSG pictures brought to me by my patients. Surprisingly in all the pictures, the results were given as normal though most of them had multiple defects that needed corrective treatment. This made me aware that many radiologists and doctors were not equipped to read HSG. Therefore this book which has many HSG pictures that are different from each other. All the pictures are collections from our patients who came for consultation. The book provides basic knowledge about HSG, starting from the history to the latest technology of performing this procedure. This simple procedure gets complicated when wrongly done or diagnosed. I hope this book will be valuable to all doctors and radiologists performing HSG.
Endoscopy in Infertility - Part II - A Perspective on Laparoscopy - ECAB
Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy, both laparoscopy and hysteroscopy, has become an essential part of gynecologic surgery. In present practice, the benefits of laparoscopy, hysteroscopy, and minimally invasive surgical procedures have become safely entrenched behind undeniable facts, to the patients as well as the hospitals. The endoscopic gynecologic surgery now involves the whole gamut of fetal surgery, embryoscopy, outpatient local anesthetic laparoscopy, total laparoscopic hysterectomy, and embolization of myomas. Another interesting fact to come to the fore is that, increasingly, the traditional treatments for infertility are being rendered obsolete by advanced reproductive technologies and gynecologic endoscopy. Endoscopy in Infertility has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of its authors, who are among the pioneers in this field.
Interdisciplinary Approaches to AI, Internet of Everything, and Machine Learning
Artificial intelligence (AI), the Internet of Everything (IoE), and Machine Learning (ML) are transforming modern society by driving innovation and improving efficiency across diverse fields. These technologies enable seamless connectivity, intelligent decision-making, and data-driven solutions that address complex global challenges. From revolutionizing industries like healthcare, education, and transportation to enhancing communication and resource management, their applications are vast and impactful. Interdisciplinary approaches are critical for unlocking their full potential, fostering collaboration across sectors to develop sustainable, ethical, and inclusive solutions. As these techno...
Polycystic Ovary Syndrome - ECAB
PCOS is a complex endocrinopathy with wide-ranging variations and clinical manifestations. In the field of gynecology, the clinician is called upon to treat problems of menstrual irregularity, acne and hirsutism, infertility, obesity, and for education on long-term consequences. The mainstay of pharmacological treatment aims at ovarian suppression of androgen secretion. The most effective medical therapy for hirsutism in these cases thus appears to be antiandrogen drugs. The patients need to undergo the therapies for long periods and also understand the need of maintenance. Electrolysis and laser photothermolysis are considered the most effective cosmetic procedures. PCOS is a heterogeneous ...
Threatened Miscarriage - ECAB
Even though it seems simple the ability of the mother’s body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal "semi-allograft", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited. In such a situation, a correct diagnosis and prompt evaluation is imperative to start immediate interv...
Thyroid Dysfunction and Pregnancy - ECAB
It is an established fact that thyroid hormones play an important role in the metabolism of the body. Pregnancy is a state of significant hormonal as well as metabolic changes, and thyroid hormones have a significant impact on maternal metabolism and fetal development during pregnancy. The fetus relies on maternal thyroid hormone for the development of the CNS, especially in the early stages of gestation, and uncorrected maternal hypothyroidism in this period can leave the child with permanent life-long neurological deficits. From the maternal point of view, a thyroid dysfunction encountered during pregnancy may continue even after delivery as postpartum thyroiditis. Hence, any thyroid dysfu...
Mechanical Engineering for Sustainable Development: State-of-the-Art Research
This volume provides valuable insight into diverse topics related to mechanical engineering and presents state-of-the-art work on sustainable development being carried out throughout the world by budding researchers and scientists. Divided into three sections, the volume covers machine design, materials and manufacturing, and thermal engineering. It presents innovative research work on machine design that is of relevance to such varied fields as the automotive industry, agriculture, and human anatomy. The second section addresses materials characterization, an important tool in assessing proper materials for application-oriented jobs, and emerging unconventional machining processes that are important in design engineering for new products and tools. The section on thermal engineering broadly covers the use of viable alternate fuels, such as HHO, biodiesel, etc., with the objective of reducing the burden on petroleum reserves and the environment.
Gynecologic Endocrinology - ECAB
The diagnostic approach as well as the management of several endocrinological disorders underwent major modifications. Gynecological endocrinology made no exception, and light was finally thrown on a scarcely known area, so heavily influenced by ignorance and prejudices. Here some authoritative experts have addressed the several possibilities of hormonal interventions in the field of gynecology. The most recent research development has led to the better understanding of the physiopathological rationale, underlying appropriate treatments and even evaluation of the new routes of hormone administration. Current medical therapy of different conditions has been thoroughly reviewed, including prec...
Trials and Triumphs- A Teacher’s Life Journey
The quote sums up the role of teachers in student’s life. The influence of a teacher extends beyond the four walls of a class room and plays a significant role in molding and shaping the life of a student. Rather the teacher-student bond is the foundation stone of building the life of a student. I am lucky to be a teacher who had a great influence on the lives of many medical students. The bond, and rapport between the teacher and the student is unique and beyond explanation. I have the privilege of being a teacher for over four decades having taught couple of thousand students who now adorn the garden of Medicine. I will just narrate one incident that describes the beauty and greatness of...
