South Asia Region (SAR) has decreased maternal mortality ratio (MMR) by 65 percent between 1990 and 2013, which was the greatest progress among all world regions. Such achievement implores the question, What made SAR stand out against what is predicted by standard socioeconomic outcomes? Improving Maternal and Reproductive Health in South Asia: Drivers and Enablers identifies the interventions and factors that contributed to reducing MMR and improving maternal and reproductive health (MRH) outcomes in SAR. In this study, the analytical framework assumes that improving MRH outcomes is influenced by a multitude of forces from within and outside the health system and considers factors at the household and community levels, as well as interventions in other sectors and factors in the enabling environment. The analysis is based on a structured literature review of the interventions in SAR countries, relevant international experience, and review of the best available evidence from systematic reviews. The focus of the analysis is mainly on assessing the effectiveness of interventions. The findings from this study indicate that the most effective interventions that prevent maternal mortality are those that address the intra-partum stage - the point where most maternal deaths occur - and include improving skilled birth attendance coverage, increasing institutional delivery rates, and scaling up access to emergency obstetric care. There is also adequate evidence that investing in family planning to increase contraceptive use also played a key role during the inter-partum phase by preventing unwanted pregnancies and thus averting the risk of maternal mortality in SAR countries. Outside the programmatic interventions, the levels of household income, women's education, and completion of secondary education of girls were also strongly correlated with improved MRH outcomes. Also, there is strong evidence that health financing schemes - both demand and supply side - and conditional cash transfer programs were effective in increasing the uptake of MRH services. The study points out to many other interventions with different degrees of effectiveness. The study also identified four major reasons for why SAR achieved this progress in MMR reduction. The best practices and evidence of what works synthesized in this study provide an important way forward for low- and middle-income countries toward achieving the health-related Sustainable Development Goals

"Living in an age of constant gratification, economic influx and fragile egos, happiness has become increasingly elusive, yet it remains the Holy Grail, we search for all our lives. The purpose of this book is to suggest a cure for the ordinary day to day unhappiness which most people suffer from in today's world due to no obvious reasons. Since the goal of every human being on this Earth is to attain Happiness, it is hoped that after reading the book thoroughly and analysing as well as grasping the seven most important and practical steps suggested by the author, such as: - Change is constant - Live in the present - Live free from Attachment - Good Health - You can stall ageing - Be Content which will lead to Happiness - Love and Cheer up to be contented in your day-to-day life - Always think Positively and have Happy thoughts- Laughter/Humour is God's gift to Happiness, one can successfully tackle one's problems in life and achieve one's ultimate goal, i.e., to Remain Happy and Cheerful!

Bestselling author and counselor Michael Gurian offers a comprehensive look at the emotional, spiritual, and cognitive dimensions of aging--and how to celebrate life after fifty.

Called "the people's philosopher" for his ability to apply scientific ideas to our ordinary lives, Michael Gurian, bestselling author of "The Wonder of Boys," sees life after fifty as an enormously fruitful, exciting, and fulfilling time. Drawing on scientific research as well as anecdotes that respond to the needs of his many clients, he goes beyond the physical-centered view of aging and presents a new, holistic paradigm embracing opportunities that come with life after fifty.

"The Wonder of Aging" focuses on the physical, mental, relational, and spiritual aspects of aging, discussing topics such as sex, how men and women age differently, the effects of aging on the brain, and what to expect in the last chapter of life. The book divides life after fifty into three stages: the Age of Transformation, from our late forties to sixty; the Age of Distinction, from sixty to seventy-five; and the Age of Completion, which involves completing one's life journey. In addition, this essential guide provides meditations and exercises to help you map out the aging process and is rich with case histories from Gurian's research and experience as a therapist.

Written with Gurian's contagiously optimistic outlook on life, "The Wonder of Aging" provides a full, constructive, and comforting roadmap to what to expect--and how to celebrate--the second half of your life.

One message that comes along with ever-improving fertility treatments and increasing acceptance of single motherhood, older first-time mothers, and same-sex partnerships, is that almost any woman can and should become a mother. The media and many studies focus on infertile and involuntarily childless women who are seeking treatment. They characterize this group as anxious and willing to try anything, even elaborate and financially ruinous high-tech interventions, to achieve a successful pregnancy.

But the majority of women who struggle with fertility avoid treatment. The women whose interviews appear in "Not Trying" belong to this majority. Their attitudes vary and may change as their life circumstances evolve. Some support the prevailing cultural narrative that women are meant to be mothers and refuse to see themselves as childfree by choice. Most of these women, who come from a wider range of social backgrounds than most researchers have studied, experience deep ambivalence about motherhood and non-motherhood, never actually choosing either path. They prefer to let life unfold, an attitude that seems to reduce anxiety about not conforming to social expectations.

Frank Nawroth thematisiert das Social Freezing und die zugehoerige Beratung, die nicht nur Chancen, sondern auch denkbare Komplikationen und Grenzen der Methode aufzeigen muss. Zum Beispiel haben die gesellschaftspolitisch nicht optimal geloeste Problematik des moeglichen Karriere-Nachteils einer berufstatigen Mutter oder die haufig bestehende Schwierigkeit, den geeigneten Partner zu finden, bei gleichzeitig verbesserten Kryokonservierungsmethoden dazu gefuhrt, dass Frauen ohne medizinische Indikation uber das Einfrieren ihrer Eizellen nachdenken. Die Technologie selbst ist seit Langerem Routine vor fertilitatsbeeintrachtigenden Therapien onkologischer Erkrankungen (Operation, Strahlen- und/oder Chemotherapie) im reproduktiven Alter.

In their desperate quest for conception, thousands of infertile couples from around the world travel to the global in vitro fertilization (IVF) hub of Dubai. In Cosmopolitan Conceptions Marcia C. Inhorn highlights the stories of 220 "reprotravelers" from fifty countries who sought treatment at a "cosmopolitan" IVF clinic in Dubai. These couples cannot find safe, affordable, legal, and effective IVF services in their home countries, and their stories offer a window into the world of infertility-a world that is replete with pain, fear, danger, frustration, and financial burden. These hardships dispel any notion that traveling for IVF treatment is reproductive tourism. The magnitude of reprotravel to Dubai, Inhorn contends, reflects the failure of countries to meet their citizens' reproductive needs, which suggests the necessity of creating new forms of activism that advocate for developing alternate pathways to parenthood, reducing preventable forms of infertility, supporting the infertile, and making safe and low-cost IVF available worldwide.

Challenging Concepts in Obstetrics and Gynaecology is a case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. Recognising that any attempt to cover the whole curriculum is impossible, the authors have instead chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes. Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory. Each case is set off by an 'Expert Commentary' written by an internationally-renowned expert in each field, leaving the reader with both a solid base of knowledge and a nuanced view of current challenges in obstetrics and gynaecology. This collaboration between trainees and experts provides a unique insight into the management of complex and often rare but important obstetrics and gynaecology cases, within a highly user-friendly format and a ready-made means of self-learning and self-testing. Challenging Concepts in Obstetrics and Gynaecologymakes a useful, relevant and interesting read, enabling the reader to readily transfer the knowledge gained to everyday clinical practice.

This book covers human female biology, how the menstrual cycle is controlled, how steroidogenesis is controlled and how the follicle and the egg are formed. This book covers male biology, and how steroid hormones are made, and how sperm are synthesised and matured. Then this book covers sex biology, such as how the brain deals with libido and sexual images, and how the brain controls erection and ejaculation. This book deals with how sperm are matured upon intercourse, how fertilisation takes place, and how the fertilised embryo is matured and implants in the uterus. The subjects of sexuality and homosexuality, chromosome disorders and hydatidiform moles are carefully discussed and considered. Sexual maturation of the foetus during pregnancy is carefully considered. This book carefully describes puberty, adrenarche and menarche. The subject of menopause is carefully considered. The subject of major bacterial and viral and sexual diseases is carefully considered as is the subject of reproductive cancers. In writing this book, care has been taken to update everything and check out the information available on medline and on the internet. This is a textbook for undergraduates, medical students and graduates describing all the details of human reproduction. It is also the only up-to-date book on the market. Having examined a total 70 books on human reproduction, obstetrics and gynaecology, they all, with no exceptions, include mostly out-of-date science. This is corrected in this book. This book is also a monograph for reproductive biology scientists, covering all the most recent findings in this field. It can also be sold as a general obstetrics and gynaecology information source for use by physicians, the general public and in libraries. This is a unique one-of-a-kind reference on human reproduction.

In this book the authors present current research in the study of spermatozoa. This compilation focuses on the biology, motility and function and chromosomal abnormalities of spermatozoa. Topics discussed are the epigenetic mechanisms in mammalian male germline; biological characteristics of sperm in two oyster species; sub-cellular dynamics occurring during capacitation of mammalian spermatozoa; new perspectives on the study of prion and prion-like proteins; meiotic segregation studies in spermatozoa of males carrying a structural chromosome abnormality; testicular germ cell apoptosis during orchitis; the influence of leukocytospermia on semen parameters; and spermatozoa motility and morphology.

Offering exceptional full color diagrams and clinical images, Langman's Medical Embryology , 13e helps medical, nursing, and health professions students develop a basic understanding of embryology and its clinical relevance. Concise chapter summaries, captivating clinical correlates boxes, clinical problems, and a clear, concise writing style make the subject matter accessible to students and relevant to instructors. The new edition is enhanced by over 100 new and updated illustrations, additional clinical images and photos of early embryologic development, and an expanded chapter on the cardiovascular system. Clinical Correlates boxes illustrated by cases and images cover birth defects, developmental abnormalities, and other clinical phenomena. More than 400 illustrations-including full-color line drawings, scanning electron micrographs, and clinical images-clarify key aspects of embryonic development. Basic genetic molecular biology principles are highlighted throughout the text to link embryology to other critical specialties. Chapter Overview figures provide a visually compelling introduction to each chapter. Problems to Solve (with detailed answers at the back of the book) help you assess your understanding. An expanded glossary defines key terms and concepts. Online learning resources for students include an interactive question bank and animations.

This new edition of a groundbreaking book is now in two volumes, on 'Fundamentals, Symptoms, and Conditions' on 'Reconstructive and Fertility Preserving Surgery and Procedures. From a distinguished editorial team and internationally recognized contributors the text educates surgeons on the techniques and procedures now needed in gynecology, with a special focus on reconstructive vaginal, hysteroscopic, laparoscopic, and laparotomic surgery, including that designed to preserve or enhance fertility. The reader can now more readily understand pathogenesis, appropriate investigation, and application of both surgical and nonsurgical strategies and techniques. The two volumes contain over 20 new chapters and in the integral ebook, over 140 instructional videos; each chapter has Key Points summarized.

Stuart and his wife Julie decided they were ready to have a baby. She went on vitamins and they went on one last vacation, because they thought it would be no time at all before she was pregnant. But that's not exactly how things went. For nearly two years, they endured grueling fertility treatments, beginning with charting temperatures and predicting ovulation, on to oral fertility drugs, through a laparoscopy, a slew of IUIs, and multiple IVFs, and, finally, a course of homeopathic remedies. Catawampus tells this tale of the madness and confusion of fertility treatments and all that those treatments entail but, this time, it's Stuart that tells the story. So, specimen collecting? Sure. Syringes, large and small? Yes. Heartache, frustration, and anger? Of course, but Stuart also shows what else was going on at the time, because, despite the fact that the fertility process can dominate a couple's focus, life continues to unfold. As such, the book is about a relationship between husband and wife, between parent and child, about friendship, and, ultimately, about what it means to be a father. Oh, yeah, it's also very funny. And filled with a choice selection of rants about popular culture, references to movies ranging from the ridiculous to the mostly-still-ridiculous, citations of literary classics, and a little bit of Nashville thrown in for fun. In the end, it's entertaining and poignant writing, and a necessary and underrepresented perspective of an important, hot-button issue.