New PDF release: 現代史資料 4

By 今井 清一, 高橋 正衛

ISBN-10: 462202604X

ISBN-13: 9784622026044

ISBN-10: 4622091046

ISBN-13: 9784622091042

Show description

Read or Download 現代史資料 4 PDF

Best nonfiction_2 books

Dynamic Modelling for Supply Chain Management: Dealing with by Adolfo Crespo Márquez PDF

An efficient provide chain ends up in a transparent aggressive virtue for the construction method as a complete, yet offer chain administration is a collaborative attempt that calls for the efforts of disparate teams of individuals and a variety of services. Dynamic Modelling for offer Chain administration discusses the right way to streamline complicated offer chain administration via benefiting from the starting to be variety of instruments on hand.

Get Getting a Job in Hedge Funds: An Inside Look at How Funds PDF

Getting a task in Hedge cash bargains particular suggestion for these seeking to holiday into the hedge fund company. With this booklet, you’ll study the place hedge cash regularly search for new applicants, what kind of event is required to set your self up for a place, and what could be performed to enhance your possibilities of stepping into a hedge fund.

Louise Porter's Gifted Young Children: A Guide for Teachers and Parents, 2nd PDF

Proficient youngsters is a pragmatic advisor to choosing and aiding youngsters who might be proficient or gifted. Louise Porter outlines the right way to determine and supply educationally for kids elderly as much as eight years with complex improvement. She explains how academics and fogeys can advertise kid's emotional and social adjustment, together with how you can increase vanity, inspire friendships and help their autonomy.

Extra info for 現代史資料 4

Sample text

Perimenopausal bleeding patterns and pathologic findings. J Am Med Womens Assoc 1990; 45:132–134. 7. Mencaglia L, Perino A, Hamou J. Hysteroscopy in perimenopausal and postmenopausal women with abnormal uterine bleeding. J Reprod Med 1987; 32:577–582. 8. Kaunitz AM. Abnormal uterine bleeding in the perimenopausal patient. Contemp OB/GYN 2002; April:69–88. 9. Kilbourn CL, Richards CS. Abnormal uterine bleeding—diagnostic considerations, management options. Postgrad Med 2001; 109:1–11. 10. Munro MG.

Surgical management options are directed by the type of uterine pathology, which is identified in patients. Patients with dysfunctional bleeding in which no organic pathology is found and fails to respond to medical therapy are candidates for either endometrial ablation procedures, or vaginal or abdominal hysterectomy. The decision to retain the ovaries or not should be carefully discussed with the patient and be decided prior to the surgical procedures. Perimenopausal patients who choose to undergo treatment with hysterectomy and bilateral salpingo-oophorectomy should be counseled on the recommendation for estrogen replacement therapy prior to surgery.

B Abnormal Uterine Bleeding During the Perimenopause 29 Furthermore, progesterone therapy for 21 days of the cycle resulted in significant reductions in menstrual blood loss, although women found it less acceptable than the levonorgestrel IUD (55; Level I evidence). Progestins can be administered continuously in a dose of 10 to 20 mg per day of MPA or 5 mg per day of norethindrone, which usually results long-term in amenorrhea that is highly acceptable to many perimenopausal patients. Perimenopausal women whose endometrial biopsies show hyperplastic changes that do not wish to undergo hysterectomy could be placed on high-dose progestins for three months and re-biopsied to confirm reversal of hyperplasia.

Download PDF sample

現代史資料 4 by 今井 清一, 高橋 正衛

by James

Rated 4.64 of 5 – based on 38 votes