Now in a completely revised and expanded fourth edition, including two new chapters, this user-friendly textbook offers a succinct overview of both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. Included here are updated chapters on major reproductive endocrinology and infertility issues, such as polycystic ovary syndrome (PCOS), pubertal disorders, amenorrhea, menopause, management of endometriosis and fibroids (including interventional radiology), laboratory and clinical aspects of assisted reproductive technologies (ART), imaging modalities such as ultrasonography and sonohysterography, hysteroscopic and laparoscopic techniques, an expansion of female infertility and fertility, preimplantation diagnosis and screening, osteoporosis, and contraception and sterilization. Chapters new to this edition discuss third-party reproduction and uterine transplantation. In addition, chapters opens with a list of bulleted key points and end with multiple choice review questions, and most include vibrant clinical case material to illustrate important concepts. Residents, fellows, and new clinicians in obstetrics and gynecology interested in reproductive endocrinology and infertility will find this fourth edition of Clinical Reproductive Medicine and Surgery: A Practical Guide a valuable and focused reference.

This thoroughly revised second edition is an up-to-date overview of the current knowledge of Notch and Notch signaling in embryology and cancer. It discusses this topic from Notch's role in the development of the embryo to the Notch signaling pathway's role in the development of a number of cancers, including breast cancer, malignant melanoma, Non-melanoma skin cancer, intestinal cancer and others. In the years since the previous edition, there have been numerous developments and insights within this rapidly moving field, making this new edition urgently needed. This volume also features discussions of current insights on Notch's role in senescence, the regulation of Notch signaling by microRNAs, Notch's role in the microbiome, diet and its influence on Notch signaling and more. Taken as a whole, with its companion books - Molecular Biology of Notch Signaling and Notch Signaling in Cancer - this is a definitive discussion of the topic, presented by internationally-recognized contributors. Presented in a coherent and accessible structure, this revised and updated second edition is an essential and up-to-date guide for oncologists, embryologists, researchers and advanced students.

When Near Becomes Far explores the representations and depictions of old age in the rabbinic Jewish literature of late antiquity (150-600 CE). Through close literary readings and cultural analysis, the book reveals the gaps and tensions between idealized images of old age on the one hand, and the psychologically, physiologically, and socially complicated realities of aging on the other hand. The authors argue that while rabbinic literature presents a number of prescriptions related to qualities and activities that make for good old age, the respect and reverence that the elderly should be awarded, and harmonious intergenerational relationship, it also includes multiple anecdotes and narratives that portray aging in much more nuanced and poignant ways. These anecdotes and narratives relate, alongside fantasies about blissful or unnoticeable aging, a host of fears associated with old age: from the loss of physical capability and beauty to the loss of memory and mental acuity, and from marginalization in the community to being experienced as a burden by one's children. Each chapter of the book focuses on a different aspect of aging in the rabbinic world: bodily appearance and sexuality, family relations, intellectual and cognitive prowess, honor and shame, and social roles and identity. As the book shows, in their powerful and sensitive treatments of aging, rabbinic texts offer some of the richest and most audacious observations on aging in ancient world literature, many of which still resonate today.

The Year Book of Neonatal and Perinatal Medicine brings you abstracts of the articles that reported the year's breakthrough developments in neonatal and perinatal medicine, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed Chapters in this annual cover the most current information on all aspects of neonatal and perinatal medicine from genetics to labor and delivery to issues related to many key bodily systems (heart, respiratory, nervous system, etc.) of newborns. Other topics for 2004 include neurology, gastroenterology and nutrition, medical disorders of pregnancy, fetal evaluation, and neonatal behavior.

Guest edited by Bonnie Joe, this issue of MRI Clinics covers breast screening protocols, imaging the newly diagnosed cancer patient, imaging to monitor response to therapy, breast MR spectroscopy, and more.

Diverse Pathways to Parenthood: From Narratives to Practice is a timely contribution to the study of reproduction and parenthood. Drawing on a wide breadth of projects, this book covers topics such as first time parents, donor conception, pregnancy loss, surrogacy, lesbian, gay and/or transgender parenting, fostering and adoption, grandparenting, and human/animal kinship. By presenting individual narratives focused on reproduction and parenthood, this book successfully translates empirical research into practical, applied outcomes that will be of use for all those working in the fields of reproduction and parenthood. Including recommendations for fertility specialists, educators, child protection agencies, reproductive counselors, and policy makers, Diverse Pathways to Parenthood: From Narratives to Practice is a vital new resource that will help guide practice into the future. As a contribution to the field of critical kinship studies, this book heralds new directions for the study of kinship, by revisiting as well as reimagining how we think about, research, and respond to a diversity of kinship forms.

Placenta accreta spectrum (PAS), an obstetric emergency associated with significant maternal morbidity and mortality, has increasingly become a global challenge with the rising trend of cesarean deliveries. This book provides a comprehensive review of basic science-related to PAS, discusses modern practice in diagnosis and classification of PAS disorders, and appraise current recommendations on PAS management in view of recent studies, guidelines, and expert opinions. In the last few years, there have been many new updates to practice guidelines including ACOG, RCOG, and FIGO guidelines in addition to several new studies, some of which were unusually multicenter and of large sample size, that are eligible to make major changes in our PAS practice. In addition, the book aims at providing more comprehensive review of all aspects related to PAS from experts, including topics that are deficient in similar books e.g., vascular anatomy, risk reduction, adjuvant treatments. The book provides a single source that provides academic knowledge for researchers and investigators, and clinical guidance to best practice and recent updates in management of women with PAS.

Think diet and exercise are the keys to a long, healthy life?
Think again.

What can you do to increase the likelihood of living a happy, healthy, fulfilling life into your sixties, seventies, eighties, and beyond?

For more than five decades Harvard Medical School has studied the basic elements of adult human development, analyzing the health and happiness of hundreds of individuals from a wide variety of backgrounds. In Aging Well, George E. Vaillant, M.D., the director of the study, draws on the data gathered and reveals for the first time why some people turn out to be more resilient than others. His surprising conclusion is that individual lifestyle choices play a greater role than genetics, wealth, race, or other factors in determining how happy people are in later life.

Among the topics Dr. Vaillant explores:

• · The importance of marriage and the impact of divorce
• · The role of play and creative activity
• · The effects of tobacco, alcohol, and other mood elevators
• · The benefits of forming new friendships and new social networks
• · The importance of intellectual curiosity and lifelong learning

With its step-by-step advice and its revelation of scientific secrets, this inspiring book can help you — whether you are thirty-five or sixty-five — ensure that your golden years are truly golden.

This issue of the Obstetrics and Gynecology Clinics covers the Medical and Surgical Management of Common Fertility Issues. Articles include Infertility Evaluation, Ovulation Induction, and problems such as fibroids, endometriosis, and ectopic pregnancy.

This book comprehensively addresses female and male fertility preservation. It discusses in detail all major aspects of fertility preservation in both sexes, explains the basis of fertility preservation, and highlights the currently available techniques; further chapters are dedicated to specific diseases. The book offers an essential reference guide for all physicians, specialists or not, seeking to improve their grasp of female and male fertility preservation.

Genetic Screening and Counseling is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Drs. Anthony R. Gregg and Joe Leigh Simpson. Authorities in the field have come together to pen articles on Contemporary Genetics Counseling: New Frontiers and Challenges, Newborn Screening, SMA Carrier Screening, Fragile X, Ashkenazi Jewish Screening in the 21st Century, Thrombophilia in Obstetric Practice, Microarrays in the Practice of Obstetrics and Gynecology, Cancer Genetic Screening, and Cystic Fibrosis.

The Art & Science of Assisted Reproductive Technology is a comprehensive step by step guide to different types of ART. The book is divided into fifteen sections, beginning with instructions on setting up an assisted reproductive technology laboratory. The second section is a guide to the evaluation of an infertile couple, including the use of ultrasound and Doppler imaging in infertility, and the effect of the environment on fertility. Further sections include information on third party reproduction, medical and surgical treatments, and gamete donation and manipulation. The book describes ART techniques that employ molecular genetics, which can maximise the efficiency of ART treatments. Conditions that negatively affect fertility, including sexually transmitted diseases, endometriosis, ectopic pregnancy and immune system conditions are also discussed in detail. The Art & Science of Assisted Reproductive Technology covers all aspects of ART, from laboratory set up, embryo transfer and implantation, to cryopreservation (freezing) of eggs, sperm and embryos. Enhanced by nearly 300 full colour images, illustrations and tables, this book an essential resource for gynaecologists and infertility specialists. Key Points Comprehensive step by step guide to all aspects of assisted reproductive technology Includes guide to set up of an ART laboratory Information on ART in special conditions, third party ART and complications in ART 287 full colour images, illustrations and tables

Cloning, genetic screening, embryo freezing, in vitro fertilization, Norplant, RU486--these are the technologies revolutionizing our reproductive landscape. Through the lens of procreative liberty--meaning both the freedom to decide whether or not to have children as well as the freedom to control one's reproductive capacity--John Robertson, a leading legal bioethicist, analyzes the ethical, legal, and social controversies surrounding each major technology and opens up a multitude of fascinating questions: Do frozen embryos have the right to be born? Should parents be allowed to select offspring traits? May a government force welfare recipients to take contraceptives? Robertson's arguments examine the broad range of consequences of each reproductive technology and offers a timely, multifaceted analysis of the competing interests at stake for patients, couples, doctors, policymakers, lawyers, and ethicists.

Intrauterine insemination (IUI), also known as artificial insemination, is a fertility treatment that uses a catheter to place washed sperm directly into the uterus. Its aim is to increase the number of sperm reaching the fallopian tubes and subsequently increase the chances of fertilisation (American Pregnancy Association). This book is the first in a new series, Handbook on Infertility. Beginning with an overview of Intrauterine Insemination, the following chapters guide readers step by step through the process, from basic science to clinical application. Ethical, psychosocial and medicolegal aspects are also covered. Written by an internationally recognised author and editor team, this useful manual serves as a quick reference guide and includes photographs, illustrations and tables to enhance learning. Key points First title in new series Handbook on Infertility Presents complete overview of intrauterine insemination Includes chapters on ethical, psychosocial and medicolegal aspects Internationally recognised author and editor team

A Practical Guide to Clinical Supervision in Genetic Counseling provides a comprehensive overview of clinical supervision, emphasizing the supervision of genetic counseling students. The book draws on theory and research in genetic counseling, psychology, counselor education, and Dr. Veach's many years of experience in supervision practice. Chapters address key issues in clinical supervision, including the infrastructure required for effective supervision; relationship dynamics inherent in supervision; and critical supervision processes, such as goal setting, feedback, evaluation, culturally-responsive supervision, and common clinical supervision challenges. Additional chapters cover models of supervisor and supervisee development, strategies to promote student wellness, how to recognize and address problematic performance, and supervision delivery models. Each chapter contains instructional objectives, illustrations of major topics with supervision vignettes and examples, and descriptions of specific strategies for promoting self-reflective supervision practice. Experiential activities at the end of each chapter provide opportunities for readers to strengthen and maintain competencies associated with effective supervision processes and outcomes. The activities are appropriate for both current and future supervisors at all levels of experience and are suitable for use in the classroom and by individuals engaged in self-study. A Practical Guide to Clinical Supervision in Genetic Counseling also features three contributed chapters by experts in supervision, education, and research and an appendix with instructional tips for designing and conducting supervision training opportunities to facilitate participants' learning experiences.

This second edition has been fully updated to provide infertility specialists with the latest advances in ovulation induction. It describes the latest therapies and their relevance to treatment for different gynaecological disorders, integrating the information into a practical management protocol for everyday practice. Chapters from the first edition have been revised to reflect current techniques and five new chapters have been added to the new edition. The book includes numerous clinical photographs, flow charts and tables to enhance learning, and a CD ROM demonstrates techniques for surgical ovulation induction and multi-foetal pregnancy reduction. Key points Fully revised new edition providing infertility specialists with latest advances in ovulation induction Five new chapters added to second edition Includes CD ROM demonstrating techniques Previous edition published in 2006

An ideal reference for infertility specialists and reproductive endocrinologists alike, this comprehensive text discusses current natural and mild approaches to in vitro fertilization (IVF) and the development of in vitro maturation (IVM) as a clinical treatment. It is divided thematically into four sections. Part I presents the basic science of ovarian endocrinology and the mechanism of oocyte maturation, including follicular development and the importance of mitochondrial changes. The differences between natural cycle IVF and stimulated IVF are presented in part II, including the standard ovarian stimulation protocols and their outcomes and the etiology, prevention and management of ovarian hyperstimulation syndrome (OHSS). Minimal and mild stimulation for IVF is discussed in part III, including mild stimulation protocols for oncofertility patients and the new minimally invasive INVO procedure. In vitro maturation as a clinical treatment is the subject of part IV, discussing the methodology of immature oocyte retrieval as well as other laboratory aspects and congenital and obstetrical outcomes of babies born from IVM. Combining expertise from thought leaders around the world, Development of In Vitro Maturation for Human Oocytes will be a go-to resource for infertility researchers and practitioners and reproductive endocrinologists working with infertile couples looking for safer and more cost-effective options for treatment.

Written by Caleb Finch, one of the leading scientists of our time, The Biology of Human Longevity - Inflammation, Nutrition, and Aging in the Evolution of Lifespans synthesizes several decades of top research on the topic of human aging and longevity particularly on the recent theories of inflammation and its effects on human health. The book expands a number of existing major theories, including the Barker theory of fetal origins of adult disease to consider the role of inflammation and Harmon's free radical theory of aging to include inflammatory damage. Future increases in lifespan are challenged by the obesity epidemic and spreading global infections which may reverse the gains made in lowering inflammatory exposure. This timely and topical book will be of interest to anyone studying aging from any scientific angle.
* Author Caleb Finch is a highly influential and respected scientist, ranked in the top half of the 1% most cited scientists
* Provides a novel synthesis of existing ideas about the biology of longevity and aging
* Incorporates important research findings from several disciplines, including Gerontology, Genomics, Neuroscience, Immunology, Nutrition

As a biological, cultural, and social entity, the human fetus is a multifaceted subject which calls for equally diverse perspectives to fully understand. Anthropology of the Fetus seeks to achieve this by bringing together specialists in biological anthropology, archaeology, and cultural anthropology. Contributors draw on research in prehistoric, historic, and contemporary sites in Europe, Asia, North Africa, and North America to explore the biological and cultural phenomenon of the fetus, raising methodological and theoretical concerns with the ultimate goal of developing a holistic anthropology of the fetus.

Bringing together the latest information on the organization, management and quality of in-vitro fertilization (IVF) units, this is the first true field guide for the clinician working in assisted reproductive technologies (ART). Divided thematically into four main sections, part one discussed the establishment and organization of the IVF unit, including location, design and construction, practical considerations for batching IVF cycles, and regulations and risk management. Part two, the largest section, covers the many aspects of overall quality management and its implementation - staff and patient management, cryobank and PGD/PGS management, and data management - as well as optimization of treatment outcomes and statistical process control analysis to assess quality variation. Part three addresses the relationship between IVF units and society at large, including the ethics of IVF treatment, as well as public/low-cost and private/corporate IVF units. Advertising and marketing for IVF units is discussed in part four, including the building and managing of websites and the use of traditional print and social media. With approximately five thousand IVF units worldwide and a growing number of training programs, Organization and Management of IVF Units is a key resource for clinic directors, unit managers, embryologists, quality experts, and students of reproductive medicine and clinical embryology.