In this unique book emphasis is placed on tests necessary to evaluate fetal well-being and to detect those fetuses at risk of hypoxia and acidosis in utero. Written by pioneers in the neonatal field, this publication contains chapters on the pathophysiology, obstetric management, and collagen diseases of intrauterine growth retardation. Ultrasound in detection of growth retarded fetuses is explored, as well as magnetic resonance imaging and magnesium substitution for the prevention of intrauterine growth retardation. Containing never-before-published information, this volume is an excellent reference source for both investigators in the field and those entering it.
Topics Include:
Perinatal growth chart for international reference
Ultrasound guided procedures in small for gestation fetuses
Utero-placental and fetal circulation

A comprehensive survey of the use of ultrasound in management of infertile patients is presented in this publication. Particular atten-tion is given to recently developed techniques such as assessment of endometrial changes, ovarian blood flow measurements, and per-cutaneous oocyte retrieval for in vitro fertilization. The very re-cent technique of transvaginal sonography is presented and richly illus-trated with original results obtained in biopsy-guided oocyte re-trieval, and in the precise delineation of follicle size and number for infertility treatment. Guidance in the interpretation of ultrasonic findings, which include potential limitations and pitfalls, is provided in each chapter. Researchers and practitioners interested in the management of infertile patients will find this volume indispensable.

The first volume in this new series from The Center for the Study of Child and Adolescent Development at The Pennsylvania State University focuses on the relationship between the biological stress circuits and the behavioral concomitants to stress in animals and humans. The participants at this conference, a tribute to Dean Evan G. Pattishall, Jr., discuss the developmental implications of their work in relation to the periods of infancy, childhood, and adolescence.
For professionals, clinicians, and researchers in clinical, developmental, experimental, and health psychology, behavioral medicine, psychiatry, psychotherapy, and the neurosciences.

Declining global male fertility rates has generated increased attention on male fertility in recent years. Simultaneously, individualised responsibility for health has been growing. Fertility and lifestyle have therefore become seemingly intertwined. Esmee Sinead Hanna and Brendan Gough examine men's experiences of fertility and lifestyle practices, exploring personal experiences of the role of lifestyle in the quest for conception as well as the broader promotion of 'lifestyle' within both clinical and online material as a key aspect for 'improving' male fertility. Through the exploration of male fertility and lifestyle factors and their modification we examine the growth of healthism around infertility, the role of neoliberalism within this and how this intersects with masculinity. Using a new notion of liquid masculinity, we explore the fluid nature of societal and personal perspectives on the male infertility experience. In doing so we offer new insights into the now accepted idea that 'sperm' is malleable and that fertility controllable through personal choices, despite their being limited scientific evidence for such claims.

A symposium titled, "Touch in Infancy" was held to celebrate the opening of the first Touch Research Institute in the world. Although touch is the largest sense organ in the body, it is the one that had been the most neglected and the only one to just recently have a research institute. Designed to conduct basic research on touch and on the skin, the institute will work with wellness programs such as massage therapy and other kinds of touch therapies to facilitate better health and to treat various diseases. The institute's opening symposium featured presentations from several of the world's leading experts in infant development. Published in this volume, their work addresses the relevance of touch to the neonate's well-being.

Assisted Reproductive Technologies in the Global South and North critically analyses the political and social frameworks of Assisted Reproductive Technology (ART), and its impact in different countries. In the context of a worldwide social pressure to conceive - particularly for women - this collection explores the effect of the development of ARTs, growing globalisation and reproductive medicalization on global societies. Providing an overview of the issues surrounding ART both in the Global South and North, this book analyses ART inequalities, commonalities and specificities in various countries, regions and on the transnational scene. From a multidisciplinary perspective and drawing on multisite studies, it highlights some new issues relating to ART (e.g. egg freezing, surrogacy) and discusses some older issues regarding infertility and its medical treatment (e.g. in vitro fertilisation, childless stigmatisation and access to treatment). This book aims to redress the balance between what is known about Assisted Reproductive Technologies in the Global North, and how the issue is investigated in the Global South. It aims to draw out the global similarities in the challenges that ARTs bring between these different areas of the world. It will appeal to scholars and students in the social sciences, medicine, public health, health policy, women's and gender studies, and demography.

This collection examines enduring and topical questions in sexual and reproductive health in a range of contemporary Asian cultures. Beliefs and practices surrounding conception, pregnancy, birth, and confinement are studies in culturally specific contexts in Japan, Taiwan, the Philippines, Thailand, Laos, Cambodia, and Indonesia. Important and widely applicable health issues are also addressed, including the perception and management of HIV/AIDS, experiences of menopause and the interaction of cosmopolitan ("western'') medicine with traditional healthcare.

The current popular and scientific interest in virtual environments has provided a new impetus for investigating binaural and spatial hearing. However, the many intriguing phenomena of spatial hearing have long made it an exciting area of scientific inquiry. Psychophysical and physiological investigations of spatial hearing seem to be converging on common explanations of underlying mechanisms. These understandings have in turn been incorporated into sophisticated yet mathematically tractable models of binaural interaction. Thus, binaural and spatial hearing is one of the few areas in which professionals are soon likely to find adequate physiological explanations of complex psychological phenomena that can be reasonably and usefully approximated by mathematical and physical models. This volume grew out of the Conference on Binaural and Spatial Hearing, a four-day event held at Wright-Patterson Air Force Base in response to rapid developments in binaural and spatial hearing research and technology. Meant to be more than just a proceedings, it presents chapters that are longer than typical proceedings papers and contain considerably more review material, including extensive bibliographies in many cases. Arranged into topical sections, the chapters represent major thrusts in the recent literature. The authors of the first chapter in each section have been encouraged to take a broad perspective and review the current state of literature. Subsequent chapters in each section tend to be somewhat more narrowly focused, and often emphasize the authors' own work. Thus, each section provides overview, background, and current research on a particular topic. This book is significant in that it reviews the important work during the past 10 to 15 years, and provides greater breadth and depth than most of the previous works.

Vitrification in Assisted Reproduction presents standard and new cryopreservation techniques in detail, outlining those that have resulted in success, and providing recommended means for overcoming typically encountered problems. This new edition provides a much broader range of clinical application and data to demonstrate its contribution to the use of vitrified oocytes and embryos. The book also discusses new areas in the field of assisted reproductive technology such as oocyte banking, preimplantion diagnostics at the blastocyst stage, and the burgeoning adoption of elective single embryo transfer. Written by expert scientists and clinical embryologists, this book will help you to consistently and predictably apply vitrification as an important therapeutic strategy in assisted reproduction.

Given that millions of women have entered menopause each year since the dawn of time, it's bizarre that it still feels like uncharted territory for the women who are going through it. Dr. Heather Hirsch is committed to changing that. Unlock Your Menopause Type helps women cut through the informational noise and learn how to manage their symptoms most effectively by identifying their personal Menopause Type(s). This is not a one-size fits all solution. Unlock Your Menopause Type features a helpful quiz to identify women's individual Menopause Type(s) such as: -Premature -Sudden -Full-Throttle -Mind-Altering -Seemingly Never-ending -Silent Each type gets a full prescription for exercises, diet and strategies to regain mental focus and make menopause a routine part of maturity rather than a rollercoaster ride of unexpected symptoms and discomfort. The book also includes: -The last word on whether to replace declining hormones -What to do if you're a combination of types -How to get on top of (as it were) changes in your sex life -Crowd-sourced tips and tricks from Dr Hirsch's friend group and patients Dr Hirsch addresses the physical and emotional challenges of menopause and provides solutions from her years of practice. With knowledge, priorities and a plan, you can feel great through midlife and beyond.

For the generation that reached sexual maturity in the 1960s, the "pill" became synonymous with sexual freedom and started a sexual revolution. For women it meant freedom from the fear of pregnancy, and for men enhanced sexual opportunity. The new era of the pill has nothing to do with fertility, but everything to do with sex. The first orally effective prescr- tion drug for treating erectile dysfunction (ED) was marketed in 1998. (R) Sildenafil (Viagra ) has rejuvenated the aging male veterans of the sexual revolution, forever changed the science of sexual medicine, and tra- formed society's perspective on aging and sex. This class of drugs, known as oral phosphodiesterase inhibitors (PDE-type 5), is highly effective in the treatment of ED. Since its introduction there has been a much greater awa- ness of ED, its comorbidities, and its effects on the quality of life. In 1997, while preparing to address the Endocrine Society on the occasion of the 92nd American Urological Association meeting, I first looked at the p- clinical studies of sildenafil. I thought "this will change everything" and it clearly has-changing practice patterns in sexual medicine, and the at- tudes of patients, potential patients, and their partners. Two new PDE-type (R) (R) 5 inhibitors, tadalafil (Cialis ) and vardenafil (Levitra ), were first approved by the European Committee for Proprietary Medicinal Products and subsequently by the Food and Drug Administration in 2003 and 2004.

This volume is one of the first to concentrate on positive growth and development in a clinical arena, rather than loss and pathology. In contrast to the general theories and cross-sectional studies of existing adult developmental research, much of this volume looks at the whole-life level of development of adults through case studies. The book unites three compatible approaches to the study of adult development. The first considers the development of whole life. The second approach examines behavior during certain periods in adults' lives by combining clinical and developmental stage perspectives. The third approach examines periods of life following the work of Erikson, Levinson, and Vaillant. The editors of this volume believe that these three approaches form, in their synergy, a comprehensive and multifaceted approach to uniquely difficult problems of late adolescence and early adulthood. It is the unification of these three approches that makes this book unique in its field.

Abortion and Mothering: Research, Stories, and Artistic Expressions of a Common Intersection is a collection of academic research, personal narratives, and art that comments on different perspectives on abortion and mothering. Scholarly research is balanced with voices and experiences from outside of academia, through the inclusion of personal narratives, poetry, and art. The collection is rooted in the idea that there are not 'women who have abortions' and 'women who have babies', but that they are the same women at different points in their lives. By considering the intersection of abortion and mothering, and the liminal spaces in between, the reader is challenged to explore some of the culturally and socially constructed complexities that surround the decisions that people make about to their reproductive lives.

This gold standard text has kept its readers abreast of rapid advancements in reproductive medicine and surgery since 1983. Continuing this tradition, this fifth edition has been fully updated and revised to provide clear, didactic advice on best practice for a variety of clinical situations faced by practitioners across many specialties - including urologists, gynecologists, reproductive endocrinologists, medical endocrinologists and many in internal medicine and family practice who see men with suboptimal fertility and reproductive problems. Completely restructured to include pedagogical features such as easily accessible key concepts that cement understanding and real-world use. Covering everything from foundations of anatomy and embryology, through clinical evaluation, diagnostic approaches, treatment and fertility care in context within the healthcare system and society, thrilling advances and future directions are also included. This new edition is an essential reference for all who are working in this young and rapidly evolving field.

Among the many recent advances in assisted reproduction therapies (ART), improved technologies for identifying viable oocytes, sperm, and embryos are of primary importance. Paradoxically, the latest advances presented at conferences and symposia are often slow to become part of the daily routine in IVF laboratories. Detailing established and developing techniques, A Practical Guide to Selecting Gametes and Embryos provides a user-friendly text of ready-to-use ARTs that can be utilized effectively in the lab.

In this volume, renowned embryologist and educator Markus Montag and his expert panel highlight sophisticated and proven selection strategies and emphasize the importance of proper lab practice in handling gametes and embryos.

Topics include:

• Steps undertaken for the analysis of a semen sample
• Quality control and prevention of exposure to toxins in oocyte collection and embryo culture
• Morphological selection of gametes and embryos
• Both commonly used and innovative techniques for gamete and embryo selection, such as oxygen respiration and time-lapse imaging
• Invasive techniques, including polar body, embryo, and blastocyst biopsies as well as aneuploidy testing by FISH and array-CGH

Accompanied by numerous figures and descriptions, this guide to selecting gametes and embryos brings the insight of international authors with knowledge and expertise, highlighting practical tips and key points. The book offers a starting point for applying successful selection strategies for reducing the rate of high-risk multiple gestations while maintaining or increasing viable pregnancy rates.

Rapid population aging, once associated with only a select group of modern industrialized nations, has now become a topic of increasing global concern. This volume reframes aging on a global scale by illustrating the multiple ways it is embedded within individual, social, and cultural life courses. It presents a broad range of ethnographic work, introducing a variety of conceptual and methodological approaches to studying life-course transitions in conjunction with broader sociocultural transformations. Through detailed accounts, in such diverse settings as nursing homes in Sri Lanka, a factory in Massachusetts, cemeteries in Japan and clinics in Mexico, the authors explore not simply our understandings of growing older, but the interweaving of individual maturity and intergenerational relationships, social and economic institutions, and intimate experiences of gender, identity, and the body.

The successful achievement of pregnancies following pre-implantation genetic diagnosis (PGD) was first reported in April 1990. The technology is often used for patients who are at substantial risk of conceiving a pregnancy affected by a known genetic disorder, however from this technology other more controversial uses have arisen such as HLA typing to save the life of a sibling, gender selection for social reasons, the prevention of late onset diseases, or the prevention of diseases which may be genetically predisposed to developing such as breast cancer. The technology surrounding PGD is constantly developing, giving rise to new and unexpected consequences that create fresh ethical and legal dilemmas. Featuring internationally recognized experts in the field, this book critically explores the regulation of PGD and the broader legal and ethical issues associated with it. It looks at the regulatory situation in a number of jurisdictions including New Zealand, Australia and the United Kingdom, but it also explores a number of themes of wide significance including a historical consideration of PGD and its part in the creation of the "genetic embryo" as a political tool, the over regulation of PGD and the ethical difficulties in handling additional unexpected medical information yielded by new technologies. This book will be of particular interest to academics and students of law, medicine and ethics.

This is the second volume in an annual series reviewing important areas and advances in obstetric ultrasound, with wide-ranging reviews as well as chapters that look at chosen topics in more depth. This volume again draws together outstanding contributions from radiologists, obstetricians, and scientists to provide full coverage of clinical problems of particular current interest, such as extopic pregnancy, prenatal diagnosis of neural tube defects, fetal cardiac arrhythmias, and non-immune hydrops, while also covering litigations, equipment, and randomized trails of obstetric ultrasound.

Today, we are exposed to an increasing number of chemicals in the environment and there is a growing awareness of the effects of these chemicals on the ovaries. Infertility resulting from environmental exposures may not be obvious until the reproductive life span is waning. As such, the potential for xenobiotic-induced infertility needs to be better understood. In recent years, research into chemicals that have the potential to cause early menopause by destroying pre-antral ovarian follicles is gaining greater appreciation. Ovarian Toxicology, Second Edition represents a compilation of chapters prepared by researchers who have substantially contributed to our understanding of the impact of xenobiotics and environmental factors on ovarian function. The second edition substantially updates newly investigated ovotoxicants as well as improved mechanistic insights that have emerged since the first edition. Topics include: Ovarian physiology and the metabolism of xenobiotics The effect of pesticides, heavy metals, phthalates, BPA, and cigarette smoking on the ovaries Ovarian cancer, including endocrine effects and new perspectives on chemoresistance Epidemiology and human health risk assessment for environmental chemicals and pharmaceuticals The first book to focus specifically on ovarian toxicology, this resource is ideal for scientists in academia, regulatory agencies, and industry who would benefit from a survey of the impact of xenobiotic chemicals on ovarian function.

In Reproductive Medicine and the Life Sciences in the Contemporary Economy, Alexander Styhre and Rebecka Arman illuminate issues that have given rise to terms such as 'the bioeconomy' and 'the baby business'. The life sciences play an increasing role in providing services and commodities consumed by businesses and the public. Based on an in-depth study of clinics offering assisted fertilization in Sweden, this book is the first to examine the commercialization and commodification of know-how derived from the life sciences, from the point of view of organization theory. In the field of reproductive medicine there has been significant growth of both public and private clinical work. Clinics are places where individual interests and concerns and social and institutional arrangements intersect. With a front office where patients encounter various professional groups and a back office comprising the laboratories wherein human reproductive materials are handled and stored, they are more than just places in which medicine is applied in a clinical setting. Clinicians in this field actively influence policy-making and the regulatory frameworks that monitor and set the boundaries for their work. These are places where social and cultural interests and concerns are translated into policies and practice. The clinics are open social systems, responding to and influencing discussions. This book combines organization theory, sociological theory, gender theory, science and technology studies, and philosophy. It emphasises the critical importance of a sociomaterial perspective on organization, stressing how material and social resources are always of necessity folded into each other in day-to-day organizing.

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.

One of the problems geriatricians are confronted with in everyday clinical practice is differentiating disease from the process of old age. The challenges of ageing require a better understanding of the essential biology of ageing in order to separate ageing from disease, and indeed ageing made worse by disease. Although the topic is large and diverse, this practical and easy-to-read reference book contains vital information on the biology of ageing. It provides a concise understanding of the changes that occur and focuses on the clinical implications of ageing. MCQs are featured throughout for revision and examination practice. The Biology of Ageing provides the reader with: . a learning guide on the biology of ageing through an overview of the changes that occur at both cellular and system levels . knowledge of how biological changes of ageing impact on physiology and the clinical relevance in medical practice . a practical consideration of these changes in disease presentations and how these changes may impact on disease management. This full-colour guide featuring slides, MRIs, figures and photographs is ideal for doctors training in geriatric medicine, practising geriatricians and those with an interest in management of older people.

Technologies of Sexuality, Identity and Sexual Health highlights the complex ways in which sexuality is expressed and enacted through local ideologies, global identities and material cultures, and their influence on people s sexual health and well-being. Its impetus is the renewed interest in technology and the social life of things, including pharmaceuticals, expanded sexual and related surgery, the growing exploitation of markets for sexual and contraceptive products, and the impact of these on sexual and health practices and outcomes.

Organised loosely into three parts, the opening chapters concentrate on female contraception, its availability, and the varied cultural significance attached to the ability to control its use, exploring the politics of reproductive health and birth control, and the ties between technology and power. The middle section turns its attention to men, and the impact of traditional and contemporary concerns about masculinity, and the social and sexual roles of men. The final chapters look at the commonalities across cultural borders and sexual gendered identities how products and procedures travel, not only through the formal channels of globalisation, but also informally, carried by individuals across cultural and social boundaries through sexual, social and commercial interactions.

The volume brings together anthropologists, sociologists and cultural studies scholars, both senior and emerging, from around the globe. Offering an important and topical contribution to the developing global literature on sexuality, sexual identity, culture and health, it is of interest to researchers and advanced students in these areas.

This new edition of an acclaimed text reviews the evidence for best practice in Maternal-Fetal Medicine, to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. The information is presented in the right format by summarizing evidence succinctly and clearly in tables and algorithms. The aim is to inform the clinician, to reduce errors and "to make it easy to do it right." The volume can be purchased separately or together with the companion volume on Obstetric Evidence Based Guidelines (set ISBN 9780367567033). The Series in Maternal-Fetal Medicine is published in conjunction with the Journal of Maternal-Fetal and Neonatal Medicine. From reviews of previous editions: An excellent resource with quick and easy protocols... this book has a permanent spot on my shelf. -Doody's Review Service