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18 impatto dell¡¯ecocardiografia fetale
18 impatto dell¡¯ecocardiografia fetalePiccoloGrandeCuore
?
Fetal echocardiography provides several advantages for diagnosing and managing congenital heart disease:
1) It allows for counseling of parents on prognosis and treatment options, including the possibility of termination of pregnancy for major defects or chromosomal anomalies.
2) In some cases, it enables life-saving procedures to be performed on the mother or fetus before or during pregnancy.
3) It facilitates delivery planning at a specialized medical center near pediatric cardiac surgery.Rheumatoid Arthritis patient wants to get Pregnant ( Clinical Scenario )
Rheumatoid Arthritis patient wants to get Pregnant ( Clinical Scenario )Ahmed AL Blasi
?
1. Rheumatoid arthritis does not affect fertility or the chances of getting pregnant. It also does not affect the unborn baby.
2. During pregnancy, RA symptoms often improve in the first and second trimesters due to changing hormone levels. Symptoms may worsen in the third trimester or after delivery.
3. Medications like methotrexate and leflunomide must be stopped before pregnancy due to risks. Hydroxychloroquine, sulfasalazine, low-dose steroids are considered safe options during pregnancy and breastfeeding.A03120104
A03120104inventionjournals
?
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.Embryo implantation 6
Embryo implantation 6äh²© ²Ì
?
This study evaluated the use of the endometrial receptivity array (ERA) test to diagnose endometrial receptivity issues in patients with repeated implantation failure (RIF). The ERA test analyzes gene expression patterns in endometrial tissue to determine if the window of implantation is receptive or non-receptive. The study found that 25.9% of RIF patients had a non-receptive diagnosis, suggesting displacement of the implantation window. For patients undergoing personalized embryo transfer based on the ERA results, pregnancy and implantation rates were 51.7% and 33.9% respectively. The study provides preliminary evidence that the ERA test may help identify endometrial issues contributing to RIF and guide treatment.Pulmonary outflow tract obstruction in fetuses with complex
Pulmonary outflow tract obstruction in fetuses with complexgisa_legal
?
This study aimed to identify prenatal echocardiographic markers that could predict which fetuses with right ventricular outflow tract obstruction and complex congenital heart disease would require neonatal intervention. The study reviewed prenatal echocardiograms and neonatal outcomes of 52 fetuses. It found that fetuses who required neonatal intervention had significantly lower pulmonary valve Z-scores and smaller pulmonary valve to aortic valve diameter ratios. Classifying ductus arteriosus flow direction as abnormal was highly sensitive and specific for predicting need for intervention. Analysis of the pulmonary outflow tract and ductus arteriosus flow can help identify fetuses likely to require postnatal support of pulmonary blood flow.Arteria Uterina Primer Trimestre Y Rciu
Arteria Uterina Primer Trimestre Y RciuEliana Cordero
?
First trimester uterine artery Doppler abnormalities predict subsequent intrauterine growth restriction, Lorraine Dugoff, ELSEVIER 2005Diagnosisoftetralogyoffallotanditsvariantsinthe 130818165058-phpapp01
Diagnosisoftetralogyoffallotanditsvariantsinthe 130818165058-phpapp01accoll
?
1) The document describes a study comparing early prenatal diagnosis of fetal tetralogy of Fallot (fTOF) between 12-17 weeks gestation to diagnosis after 17 weeks.
2) It found that while detailed assessment of cardiac anatomy was possible in most early cases, referral indications and pregnancy outcomes differed significantly between early and later diagnosis groups.
3) Specifically, early diagnosis was usually due to extracardiac abnormalities, and resulted in termination 80% of the time, compared to 33% termination for later diagnoses usually due to suspected cardiac abnormalities on routine ultrasound.Diagnosis of tetralogy of fallot and its variants in the
Diagnosis of tetralogy of fallot and its variants in thegisa_legal
?
Fetal tetralogy of Fallot (fTOF) can be diagnosed in the late first and early second trimesters of pregnancy using fetal echocardiography. This study reviewed 10 cases of fTOF diagnosed between 12-17 weeks gestation and compared them to 25 cases diagnosed after 17 weeks. Key findings included: 1) Detailed cardiac anatomy was possible in most early cases, though visualization was sometimes limited; 2) Referrals for early cases often involved extracardiac anomalies while later cases were usually for suspected cardiac issues; 3) Pregnancy termination was more common for early diagnoses (80%) versus later diagnoses (33%).Level of 17-¦Â Estradiol in follicular fluid for patient undergoes IVF as corr...
Level of 17-¦Â Estradiol in follicular fluid for patient undergoes IVF as corr...iosrjce
?
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.UOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...
UOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
?
Poor neonatal acid¨Cbase status in term fetuses with low cerebroplacental ratio
J. Morales-Rosell¨®, A. Khalil, M. Morlando, A. Bhide, A. Papageorghiou and B. Thilaganathan
Volume 45, Issue 2, Date: February (pages 156¨C161)
http://onlinelibrary.wiley.com/doi/10.1002/uog.14647/abstract
Human fetal growth is constrained below optimal for perinatal survival
B. Vasak, S.V. Koenen, M.P.H. Koster, C.W.P.M. Hukkelhoven, A. Franx, M.A. Hanson and G.H.A. Visser
Volume 45, Issue 2, Date: February (pages 162¨C167)
http://onlinelibrary.wiley.com/doi/10.1002/uog.14644/abstract40 Years of Progress
40 Years of Progressflasco_org
?
This document provides a brief history of progress in cancer research and treatment over the past 40 years. It summarizes key developments such as the discovery of hormone therapy and targeted therapies in the late 19th/early 20th centuries. It describes the founding of ASCO in 1964 and milestones such as establishing chemotherapy as potentially curative. Major trials in the 1990s-2000s established tamoxifen and ovarian ablation's benefits. Targeted therapies like imatinib revolutionized treatment. Biomarkers like HER2 and genomic assays improved prognostication and prediction of benefit. Immunotherapies like ipilimumab demonstrated durable responses. Despite advances, cancer remains challenging with over half a million annual deaths in the US. The documentGardiner et al-2016-ultrasound_in_obstetrics_&_gynecology (1)
Gardiner et al-2016-ultrasound_in_obstetrics_&_gynecology (1)gisa_legal
?
This summary provides an overview of the natural history study of 107 cases of fetal aortic stenosis from multiple centers in Europe:
- The study examined changes in cardiac dimensions and hemodynamics over the course of pregnancy in fetuses with aortic stenosis that did not undergo fetal valvuloplasty.
- Outcomes included 8 spontaneous fetal deaths, 99 live births, and 80 newborns that underwent postnatal cardiac procedures. Of those, 44 had a biventricular circulation, 29 had a univentricular circulation, and 7 converted from biventricular to univentricular.
- The study also applied previously published criteria for emerging hypoplastic left heart syndrome to see if they accuratelyIs miscarriage preventable? gynae symposium
Is miscarriage preventable? gynae symposiumobsgynhsnz
?
This document discusses the prevention of miscarriage and use of progesterone in early pregnancy. It begins by noting that 1 in 3 pregnant women experience bleeding in the first trimester, which is often the first sign of a possible miscarriage. It then examines the evidence on various potential preventative measures, finding little evidence that bed rest is effective and no significant differences in outcomes for vitamin supplementation. While uterine muscle relaxants and hCG have also not been shown to reduce miscarriage risk, progesterone supplementation is discussed as an option, given indirect evidence of its role in maintaining early pregnancy. The document evaluates this option in the context of the patient case presented.Corazo?n Fetal Dos Vistas Radiolog¨ªa
Corazo?n Fetal Dos Vistas Radiolog¨ªaImagenolog¨ªa Diagn¨®stica y Terap¨¦utica HRAEPY
?
Structural cardiac anomalies occur in about 8 in every 1,000 live births. The document discusses obtaining prenatal ultrasound views of the fetal heart to diagnose cardiac anomalies. It recommends routinely obtaining both the four-chamber view and the base view of the fetal heart. The four-chamber view allows assessment of abnormalities in the atria and ventricles but not the outflow tracts. The base view, obtained just above the four-chamber view, demonstrates the crossing of the great vessels and outflow tracts. Adding the base view increases sensitivity and accuracy for detecting cardiac anomalies compared to the four-chamber view alone.5262 12455-1-pb
5262 12455-1-pba_24111984
?
1) The study examined uterine artery Doppler flow in 132 pregnant women aged 35 or older (advanced maternal age group) and 87 pregnant women younger than 35 (control group) between 17-24 weeks of gestation.
2) The uterine artery pulsatility index, resistance index, and systolic/diastolic ratio were higher in the advanced maternal age group compared to the control group, indicating increased uterine artery impedance.
3) However, the presence of early diastolic notches in the uterine arteries did not differ significantly between the two groups.Recurrent pregnancy losses managing the unexplained
Recurrent pregnancy losses managing the unexplainedravikantraj55
?
This document discusses recurrent pregnancy losses and managing unexplained causes. It begins with an introduction to Dr. Manju Gita Mishra who has extensive experience in obstetrics and gynecology. The document then covers definitions of recurrent pregnancy loss, common causes, diagnostic evaluation, and treatment options including progesterone supplementation which some studies have found reduces subsequent miscarriage rates in women with unexplained recurrent miscarriages. It discusses challenges in identifying the cause in about 50% of recurrent pregnancy loss cases and stratifying women into those whose losses are likely due to chance versus an underlying abnormality.Diag pr¨¦ natal de ventr¨ªculo ¨²nico
Diag pr¨¦ natal de ventr¨ªculo ¨²nicogisa_legal
?
1) The study investigated perinatal outcomes for 312 fetuses diagnosed prenatally with single-ventricle heart defects between 1995-2008.
2) Most common diagnoses were hypoplastic left heart syndrome (HLHS) for dominant right ventricle and tricuspid atresia for dominant left ventricle.
3) Prenatal outcomes included 31% elective termination of pregnancy, 4% spontaneous fetal demise, 4% lost to follow up, and 61% born alive. Postnatal outcomes varied by diagnosis, with lower survival for high risk HLHS.What is new in general pediatrics, allergic and respiratory diseases
What is new in general pediatrics, allergic and respiratory diseasesEnvicon Medical Srl
?
The document discusses several studies related to general pediatrics, allergic and respiratory diseases from 2017.
One study found that early-term deliveries between 37-38 weeks gestation were associated with increased risk of long-term respiratory morbidity compared to full-term deliveries between 39-40 weeks. Another study showed that preschoolers with bedtimes before 8pm had a lower risk of adolescent obesity than those with later bedtimes. A third study found that high school start times later than 8:30am were associated with improved attendance and graduation rates.Obstetric outcomes associated with second trimester unexplained abnormal mate...
Obstetric outcomes associated with second trimester unexplained abnormal mate...Apollo Hospitals
?
1) To compare the adverse obstetrical outcomes in the patient population with normal blood MoMs.
2) To determine the probability of occurrence of an adverse obstetric event in relation with abnormal maternal blood
analytes.01.HYP.38.3.753.pdf
01.HYP.38.3.753.pdffrfr20
?
This study analyzed blood pressure data from ambulatory blood pressure monitoring of 205 normotensive pregnant women. The data was divided by parity (nulliparous vs multiparous), age (¡Ü25, 26-30, 31-35, ¡Ý36), and trimester of gestation. The study found:
1) There was no significant difference in 24-hour mean blood pressure between nulliparous and multiparous women at any age or stage of pregnancy.
2) Systolic blood pressure did not change significantly with age. Diastolic blood pressure increased slightly but significantly with age, though differences were less than 1.5 mmHg.
3) Circadian blood pressure patterns followed previouslyBiometria 11 14
Biometria 11 14Humberto Camacho Gonzalez
?
This study aimed to establish comprehensive reference ranges for fetal biometry measurements during 11-14 weeks of gestation using transabdominal ultrasound. Measurements of various fetal anatomical structures were taken from 660 viable singleton pregnancies. Reference ranges including the 5th, 50th, and 95th percentiles were calculated for each biometric parameter and plotted against gestation. The results show that all parameters increase with gestation. Ratios involving ventricle sizes and femur length decrease over time, while head circumference to abdominal circumference remains constant. The reference ranges established can help in diagnosing early growth issues and interpreting measurements in chromosomally abnormal fetuses.Jurnal pediatric
Jurnal pediatricdr. andrea wahyu
?
This study evaluated the safety and efficacy of a protocol-defined transplacental treatment for fetal supraventricular tachycardia (SVT) and atrial flutter (AFL). 50 pregnant women with fetuses diagnosed with sustained SVT or AFL between 22-37 weeks gestation were enrolled across 15 institutions in Japan from 2010-2017. The primary treatment protocol involved digoxin, sotalol, or flecainide administered until delivery. Fetal tachyarrhythmia resolved in 89.8% of cases overall and 75% of cases with fetal hydrops. However, serious adverse events occurred in 1 mother and 4 fetuses, resulting in discontinuation of treatment in 4 patients. Two fetal deaths occurredDrs. Olson¡¯s and Jackson¡¯s CMC Pediatric X-Ray Mastery: April Cases
Drs. Olson¡¯s and Jackson¡¯s CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
?
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month¡¯s topics include:
? Tension pneumothorax
? MIS-C
? Fungal Pneumonia
? Systemic JIA
? Large Pericardial Effusion
? Post-obstructive Pulmonary Edema
? Normal Thymus
? PneumoniaUltrasound obstet gynecol pilot study of chronic maternal hyperoxygenation an...
Ultrasound obstet gynecol pilot study of chronic maternal hyperoxygenation an...gisa_legal
?
This pilot study examined the effects of chronic maternal hyperoxygenation (CMH) on fetal aortic and mitral valve growth in fetuses with left heart hypoplasia (LHH). Nine pregnant women whose fetuses had LHH received at least 8 hours per day of supplemental oxygen from enrollment until delivery. Their fetuses' valve growth was compared to nine historical controls. CMH appeared safe for mothers and fetuses. While valve growth trends were better in the CMH group, the differences compared to controls were small and not statistically significant. More than 9 hours of daily CMH was associated with better aortic annular growth. The study supports further research but did not find clear benefits to valve growth from CMHCorrelation of Estrogen and Progesterone Receptor expression in Breast Cancer
Correlation of Estrogen and Progesterone Receptor expression in Breast Canceriosrphr_editor
?
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope). Intervalo av
Intervalo avgisa_legal
?
This study investigated changes in the fetal atrioventricular (AV) interval from 6 to 40 weeks of gestation using Doppler echocardiography. The main findings were:
1) The AV interval dramatically decreased from 6 to 10 weeks of gestation as isovolumic contraction time acutely decreased, then gradually increased from 10 weeks to term.
2) Isovolumic contraction time was highest at 6 weeks and approached 0 milliseconds after 10 weeks, reflecting changes in ventricular function and afterload with gestation.
3) A-wave duration linearly increased from 6 weeks to term, negatively correlating with heart rate.
4) The AV interval negatively correlated with heart rate throughout gestation
TFOD HSG Virtual y Convencional Blog.pdfTony Terrones
?
Este documento presenta un curso virtual sobre histerosalpingograf¨ªa dirigido a profesionales de la salud. El curso consta de 8 unidades que cubren generalidades, hallazgos normales y patol¨®gicos, y casos cl¨ªnicos. Se puede acceder de forma autogestionada e ilimitada por un a?o desde la inscripci¨®n utilizando recursos como clases, apuntes y foros. La carga horaria es de 90 horas y al aprobar el examen final se otorga un certificado.More Related Content
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Level of 17-¦Â Estradiol in follicular fluid for patient undergoes IVF as corr...
Level of 17-¦Â Estradiol in follicular fluid for patient undergoes IVF as corr...iosrjce
?
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.UOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...
UOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
?
Poor neonatal acid¨Cbase status in term fetuses with low cerebroplacental ratio
J. Morales-Rosell¨®, A. Khalil, M. Morlando, A. Bhide, A. Papageorghiou and B. Thilaganathan
Volume 45, Issue 2, Date: February (pages 156¨C161)
http://onlinelibrary.wiley.com/doi/10.1002/uog.14647/abstract
Human fetal growth is constrained below optimal for perinatal survival
B. Vasak, S.V. Koenen, M.P.H. Koster, C.W.P.M. Hukkelhoven, A. Franx, M.A. Hanson and G.H.A. Visser
Volume 45, Issue 2, Date: February (pages 162¨C167)
http://onlinelibrary.wiley.com/doi/10.1002/uog.14644/abstract40 Years of Progress
40 Years of Progressflasco_org
?
This document provides a brief history of progress in cancer research and treatment over the past 40 years. It summarizes key developments such as the discovery of hormone therapy and targeted therapies in the late 19th/early 20th centuries. It describes the founding of ASCO in 1964 and milestones such as establishing chemotherapy as potentially curative. Major trials in the 1990s-2000s established tamoxifen and ovarian ablation's benefits. Targeted therapies like imatinib revolutionized treatment. Biomarkers like HER2 and genomic assays improved prognostication and prediction of benefit. Immunotherapies like ipilimumab demonstrated durable responses. Despite advances, cancer remains challenging with over half a million annual deaths in the US. The documentGardiner et al-2016-ultrasound_in_obstetrics_&_gynecology (1)
Gardiner et al-2016-ultrasound_in_obstetrics_&_gynecology (1)gisa_legal
?
This summary provides an overview of the natural history study of 107 cases of fetal aortic stenosis from multiple centers in Europe:
- The study examined changes in cardiac dimensions and hemodynamics over the course of pregnancy in fetuses with aortic stenosis that did not undergo fetal valvuloplasty.
- Outcomes included 8 spontaneous fetal deaths, 99 live births, and 80 newborns that underwent postnatal cardiac procedures. Of those, 44 had a biventricular circulation, 29 had a univentricular circulation, and 7 converted from biventricular to univentricular.
- The study also applied previously published criteria for emerging hypoplastic left heart syndrome to see if they accuratelyIs miscarriage preventable? gynae symposium
Is miscarriage preventable? gynae symposiumobsgynhsnz
?
This document discusses the prevention of miscarriage and use of progesterone in early pregnancy. It begins by noting that 1 in 3 pregnant women experience bleeding in the first trimester, which is often the first sign of a possible miscarriage. It then examines the evidence on various potential preventative measures, finding little evidence that bed rest is effective and no significant differences in outcomes for vitamin supplementation. While uterine muscle relaxants and hCG have also not been shown to reduce miscarriage risk, progesterone supplementation is discussed as an option, given indirect evidence of its role in maintaining early pregnancy. The document evaluates this option in the context of the patient case presented.Corazo?n Fetal Dos Vistas Radiolog¨ªa
Corazo?n Fetal Dos Vistas Radiolog¨ªaImagenolog¨ªa Diagn¨®stica y Terap¨¦utica HRAEPY
?
Structural cardiac anomalies occur in about 8 in every 1,000 live births. The document discusses obtaining prenatal ultrasound views of the fetal heart to diagnose cardiac anomalies. It recommends routinely obtaining both the four-chamber view and the base view of the fetal heart. The four-chamber view allows assessment of abnormalities in the atria and ventricles but not the outflow tracts. The base view, obtained just above the four-chamber view, demonstrates the crossing of the great vessels and outflow tracts. Adding the base view increases sensitivity and accuracy for detecting cardiac anomalies compared to the four-chamber view alone.5262 12455-1-pb
5262 12455-1-pba_24111984
?
1) The study examined uterine artery Doppler flow in 132 pregnant women aged 35 or older (advanced maternal age group) and 87 pregnant women younger than 35 (control group) between 17-24 weeks of gestation.
2) The uterine artery pulsatility index, resistance index, and systolic/diastolic ratio were higher in the advanced maternal age group compared to the control group, indicating increased uterine artery impedance.
3) However, the presence of early diastolic notches in the uterine arteries did not differ significantly between the two groups.Recurrent pregnancy losses managing the unexplained
Recurrent pregnancy losses managing the unexplainedravikantraj55
?
This document discusses recurrent pregnancy losses and managing unexplained causes. It begins with an introduction to Dr. Manju Gita Mishra who has extensive experience in obstetrics and gynecology. The document then covers definitions of recurrent pregnancy loss, common causes, diagnostic evaluation, and treatment options including progesterone supplementation which some studies have found reduces subsequent miscarriage rates in women with unexplained recurrent miscarriages. It discusses challenges in identifying the cause in about 50% of recurrent pregnancy loss cases and stratifying women into those whose losses are likely due to chance versus an underlying abnormality.Diag pr¨¦ natal de ventr¨ªculo ¨²nico
Diag pr¨¦ natal de ventr¨ªculo ¨²nicogisa_legal
?
1) The study investigated perinatal outcomes for 312 fetuses diagnosed prenatally with single-ventricle heart defects between 1995-2008.
2) Most common diagnoses were hypoplastic left heart syndrome (HLHS) for dominant right ventricle and tricuspid atresia for dominant left ventricle.
3) Prenatal outcomes included 31% elective termination of pregnancy, 4% spontaneous fetal demise, 4% lost to follow up, and 61% born alive. Postnatal outcomes varied by diagnosis, with lower survival for high risk HLHS.What is new in general pediatrics, allergic and respiratory diseases
What is new in general pediatrics, allergic and respiratory diseasesEnvicon Medical Srl
?
The document discusses several studies related to general pediatrics, allergic and respiratory diseases from 2017.
One study found that early-term deliveries between 37-38 weeks gestation were associated with increased risk of long-term respiratory morbidity compared to full-term deliveries between 39-40 weeks. Another study showed that preschoolers with bedtimes before 8pm had a lower risk of adolescent obesity than those with later bedtimes. A third study found that high school start times later than 8:30am were associated with improved attendance and graduation rates.Obstetric outcomes associated with second trimester unexplained abnormal mate...
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?
1) To compare the adverse obstetrical outcomes in the patient population with normal blood MoMs.
2) To determine the probability of occurrence of an adverse obstetric event in relation with abnormal maternal blood
analytes.01.HYP.38.3.753.pdf
01.HYP.38.3.753.pdffrfr20
?
This study analyzed blood pressure data from ambulatory blood pressure monitoring of 205 normotensive pregnant women. The data was divided by parity (nulliparous vs multiparous), age (¡Ü25, 26-30, 31-35, ¡Ý36), and trimester of gestation. The study found:
1) There was no significant difference in 24-hour mean blood pressure between nulliparous and multiparous women at any age or stage of pregnancy.
2) Systolic blood pressure did not change significantly with age. Diastolic blood pressure increased slightly but significantly with age, though differences were less than 1.5 mmHg.
3) Circadian blood pressure patterns followed previouslyBiometria 11 14
Biometria 11 14Humberto Camacho Gonzalez
?
This study aimed to establish comprehensive reference ranges for fetal biometry measurements during 11-14 weeks of gestation using transabdominal ultrasound. Measurements of various fetal anatomical structures were taken from 660 viable singleton pregnancies. Reference ranges including the 5th, 50th, and 95th percentiles were calculated for each biometric parameter and plotted against gestation. The results show that all parameters increase with gestation. Ratios involving ventricle sizes and femur length decrease over time, while head circumference to abdominal circumference remains constant. The reference ranges established can help in diagnosing early growth issues and interpreting measurements in chromosomally abnormal fetuses.Jurnal pediatric
Jurnal pediatricdr. andrea wahyu
?
This study evaluated the safety and efficacy of a protocol-defined transplacental treatment for fetal supraventricular tachycardia (SVT) and atrial flutter (AFL). 50 pregnant women with fetuses diagnosed with sustained SVT or AFL between 22-37 weeks gestation were enrolled across 15 institutions in Japan from 2010-2017. The primary treatment protocol involved digoxin, sotalol, or flecainide administered until delivery. Fetal tachyarrhythmia resolved in 89.8% of cases overall and 75% of cases with fetal hydrops. However, serious adverse events occurred in 1 mother and 4 fetuses, resulting in discontinuation of treatment in 4 patients. Two fetal deaths occurredDrs. Olson¡¯s and Jackson¡¯s CMC Pediatric X-Ray Mastery: April Cases
Drs. Olson¡¯s and Jackson¡¯s CMC Pediatric X-Ray Mastery: April CasesSean M. Fox
?
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month¡¯s topics include:
? Tension pneumothorax
? MIS-C
? Fungal Pneumonia
? Systemic JIA
? Large Pericardial Effusion
? Post-obstructive Pulmonary Edema
? Normal Thymus
? PneumoniaUltrasound obstet gynecol pilot study of chronic maternal hyperoxygenation an...
Ultrasound obstet gynecol pilot study of chronic maternal hyperoxygenation an...gisa_legal
?
This pilot study examined the effects of chronic maternal hyperoxygenation (CMH) on fetal aortic and mitral valve growth in fetuses with left heart hypoplasia (LHH). Nine pregnant women whose fetuses had LHH received at least 8 hours per day of supplemental oxygen from enrollment until delivery. Their fetuses' valve growth was compared to nine historical controls. CMH appeared safe for mothers and fetuses. While valve growth trends were better in the CMH group, the differences compared to controls were small and not statistically significant. More than 9 hours of daily CMH was associated with better aortic annular growth. The study supports further research but did not find clear benefits to valve growth from CMHCorrelation of Estrogen and Progesterone Receptor expression in Breast Cancer
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?
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope). Intervalo av
Intervalo avgisa_legal
?
This study investigated changes in the fetal atrioventricular (AV) interval from 6 to 40 weeks of gestation using Doppler echocardiography. The main findings were:
1) The AV interval dramatically decreased from 6 to 10 weeks of gestation as isovolumic contraction time acutely decreased, then gradually increased from 10 weeks to term.
2) Isovolumic contraction time was highest at 6 weeks and approached 0 milliseconds after 10 weeks, reflecting changes in ventricular function and afterload with gestation.
3) A-wave duration linearly increased from 6 weeks to term, negatively correlating with heart rate.
4) The AV interval negatively correlated with heart rate throughout gestationUOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...
UOG Journal Club: Poor neonatal acid¨Cbase status in term fetuses with low cer...International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
?
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TFOD HSG Virtual y Convencional Blog.pdfTony Terrones
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Este documento presenta un curso virtual sobre histerosalpingograf¨ªa dirigido a profesionales de la salud. El curso consta de 8 unidades que cubren generalidades, hallazgos normales y patol¨®gicos, y casos cl¨ªnicos. Se puede acceder de forma autogestionada e ilimitada por un a?o desde la inscripci¨®n utilizando recursos como clases, apuntes y foros. La carga horaria es de 90 horas y al aprobar el examen final se otorga un certificado.
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Este documento presenta un m¨®dulo de capacitaci¨®n a distancia sobre embarazo gemelar dirigido a profesionales de la salud. El m¨®dulo consta de 5 unidades que cubren temas como embarazo gemelar doble, screening del primer trimestre, planificaci¨®n de controles y s¨ªndromes monocoriales, discordancias, terapia fetal y examen final m¨²ltiple choice. El curso es autoinstructivo con acceso ilimitado por un a?o e incluye clases, materiales y foros de discusi¨®n.
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Este documento presenta un m¨®dulo de capacitaci¨®n sobre ultrasonido en infecciones perinatales dirigido a profesionales de la salud. El curso online de 51 horas incluye 5 unidades sobre el rol de la ecograf¨ªa y el Doppler en infecciones perinatales como CMV, toxoplasmosis, parobovirus B19, varicela, l¨²es, VIH, COVID-19, dengue, zika y chikungunya. Los participantes tendr¨¢n acceso ilimitado por un a?o e incluye clases, materiales, foros, autoevalu
MCOD Ultrasonido en Infertilidad Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en ecograf¨ªa en infertilidad dirigido a profesionales de la salud. El curso consta de 5 unidades que cubren temas como la evaluaci¨®n del ciclo menstrual, ecograf¨ªa de la paciente inf¨¦rtil y malformaciones uterinas. Se dictar¨¢ de manera online con acceso ilimitado por un a?o desde la inscripci¨®n e incluye clases, materiales, foros y un examen final para obtener un certificado. La directora es la Dra. Ana Iglesias y se auspicia la C¨¢ted
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Este documento presenta un m¨®dulo de capacitaci¨®n en ecograf¨ªa dirigido a profesionales de disciplinas tecnol¨®gicas en ciencias de la salud. El programa consta de 5 unidades que cubren temas como f¨ªsica del ultrasonido, bioseguridad, aplicaciones en medicina interna y obstetricia ginecolog¨ªa, con clases te¨®ricas, material did¨¢ctico y un examen final. El director es un m¨¦dico especialista en ginecolog¨ªa y obstetricia. La modalidad permite acceso ilimitado por un a?o desde la inscripci¨®n.
MCOD Liderazgo y Trabajo en Equipo Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en l¨ªnea sobre liderazgo, comunicaci¨®n y trabajo en equipo dirigido a profesionales de la salud. El curso incluye 5 unidades tem¨¢ticas y un examen final para obtener un certificado, con acceso ilimitado por un a?o desde la inscripci¨®n. El director es un m¨¦dico especialista en ginecolog¨ªa y la carga horaria total es de 51 horas. Se ofrece inicio inmediato y se pueden consultar los aranceles por WhatsApp.
MCOD Metodolog¨ªa de la Investigaci¨®n I Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en metodolog¨ªa de investigaci¨®n cl¨ªnica y epidemiol¨®gica dirigido a profesionales de la salud. El curso incluye 5 unidades que cubren temas como el m¨¦todo cient¨ªfico, tipos de investigaci¨®n, el art¨ªculo cient¨ªfico y objetivos y variables. Se ofrece de forma online con acceso ilimitado por un a?o e incluye clases, materiales y un examen final para obtener un certificado. El director es un m¨¦dico especialista en ginecolog¨ªa.
MCOD Introducci¨®n a la M M Fetal Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en l¨ªnea sobre introducci¨®n a la medicina materno fetal dirigido a profesionales de la salud. El programa consta de 5 unidades que cubren temas como el primer trimestre del embarazo, ex¨¢menes de detecci¨®n de preeclampsia y alteraciones del crecimiento fetal. Los participantes tendr¨¢n acceso ilimitado al contenido por un a?o y recibir¨¢n certificaci¨®n luego de aprobar un examen final. El curso es auspiciado por la C¨¢tedra Libre de Salud de la Mujer
MCOD Presentaciones Cient¨ªficas Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n sobre c¨®mo hacer presentaciones cient¨ªficas efectivas dirigido a profesionales de la salud. El programa consta de 5 unidades que cubren temas como la preparaci¨®n y estructura de exposiciones orales, el miedo a hablar en p¨²blico, el dise?o de diapositivas y posters cient¨ªficos, y la redacci¨®n de informes. La modalidad es online con acceso ilimitado por un a?o e incluye clases, materiales, foros y un examen final para obtener un certificado. El
MC Procedimientos Emergencias Ped Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n sobre procedimientos en emergencias pedi¨¢tricas dirigido a profesionales de la salud. El programa consta de 5 unidades que cubren RCP, anafilaxia, RCP en neonatolog¨ªa y un examen final. Los participantes tendr¨¢n acceso ilimitado al contenido por un a?o desde su inscripci¨®n, el cual incluye clases, materiales y foros de discusi¨®n. El director es el Dr. Sergio Tedde, pediatra y neonat¨®logo de hospitales en Buenos Aires.
MCOD Taller de Cl¨ªnica Ecogr¨¢fica Blog.pdfTony Terrones
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Este documento presenta un taller de capacitaci¨®n en ecograf¨ªa y Doppler obgin dirigido a profesionales de la salud y operadores de ecograf¨ªa. El taller consta de 5 unidades que cubren diferentes aspectos de la ecograf¨ªa ginecol¨®gica y obst¨¦trica. Se ofrece acceso ilimitado por un a?o a recursos como clases, material did¨¢ctico y foros. El director es un m¨¦dico especialista en ginecolog¨ªa y obstetricia.
MCOD TN y ADNf. Optimizaci¨®n del Screening Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n sobre la translucencia nucal y el ADN fetal libre para optimizar el screening de aneuploid¨ªas. El curso de 51 horas incluye 5 unidades sobre la introducci¨®n a estos temas, su articulaci¨®n y utilidad en embarazos gemelares, con clases, materiales y un examen final para obtener un certificado. Es dirigido a profesionales de la salud y dictado por el Dr. Antonio Terrones de Argentina.
MCOD Ecograf¨ªa del Primer Trimestre Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n online sobre ecograf¨ªa del primer trimestre dirigido a profesionales de la salud. El curso consta de 5 unidades sobre per¨ªodos preembrionario, embrionario y fetal, as¨ª como enfermedades trofobl¨¢sticas y riesgos estimados. Se ofrece acceso ilimitado por un a?o e incluye clases, materiales, foros y un examen final para obtener un certificado. El director es un m¨¦dico especialista en ginecolog¨ªa y obstetricia.
Ecograf¨ªa del Segundo Trimestre Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n sobre ecograf¨ªa del segundo trimestre dirigido a profesionales de la salud. El curso consta de 5 unidades, tiene una carga horaria de 51 horas y certifica a quien apruebe el examen final. Se puede acceder de forma ilimitada por un a?o desde la inscripci¨®n y cuenta con clases, materiales y foros. Est¨¢ dirigido por el Dr. Antonio Terrones y auspiciado por la UNLP y el C¨ªrculo M¨¦dico de San Isidro.
MCOD Ecograf¨ªa Tridimensional en Obgin Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en ecograf¨ªa tridimensional dirigido a profesionales de la salud. El curso de 51 horas incluye 5 unidades sobre f¨ªsica, instrumentaci¨®n, aplicaciones en obstetricia, ginecolog¨ªa y un examen final. Se dicta de forma online con acceso ilimitado por un a?o desde la inscripci¨®n y cuenta con clases, materiales, foros y certificaci¨®n para quien apruebe el examen final.
MCOD Evaluaci¨®n de la Anatom¨ªa Fetal Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n a distancia sobre evaluaci¨®n ecogr¨¢fica de la anatom¨ªa fetal dirigido a profesionales de la salud. El programa consta de 5 unidades que cubren el examen fetal en los tres trimestres del embarazo y embarazo gemelar, con clases te¨®ricas, materiales y un examen final. El director es un m¨¦dico especialista en ginecolog¨ªa y obstetricia. La modalidad permite acceso ilimitado por un a?o desde la inscripci¨®n.
MCOD Ecograf¨ªa de los Anexos Ovulares Blog.pdfTony Terrones
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Este documento presenta un m¨®dulo de capacitaci¨®n en ultrasonido de los anexos ovulares dirigido a profesionales de la salud. El curso consta de 5 unidades e incluye clases te¨®ricas, material did¨¢ctico, foros de discusi¨®n, autoevaluaciones y un examen final para obtener un certificado. El director es Antonio Terrones, m¨¦dico especializado en ginecolog¨ªa y obstetricia. El curso se puede realizar de forma ilimitada durante un a?o desde la inscripci¨®n.Recently uploaded (20)
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Rubric level Summary for Teacher 1 to 3, Proficient Teacher. Guide in assessing MOV presented.
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The main objectives
1. To introduce the concept of computer and its various parts. 2. To explain the concept of data base management system and Management information system.
3. To provide insight about networking and basics of internet
Recall various terms of computer and its part
Understand the meaning of software, operating system, programming language and its features
Comparing Data Vs Information and its management system Understanding about various concepts of management information system
Explain about networking and elements based on internet
1. Recall the various concepts relating to computer and its various parts
2 Understand the meaning of software¡¯s, operating system etc
3 Understanding the meaning and utility of database management system
4 Evaluate the various aspects of management information system
5 Generating more ideas regarding the use of internet for business purpose EDL 290F Week 3 - Mountaintop Views (2025).pdf
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In this slide, we¡¯ll discuss on how to use Init Hooks in Odoo 18. In Odoo, Init Hooks are essential functions specified as strings in the __init__ file of a module.QuickBooks Desktop to QuickBooks Online How to Make the Move
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If you use QuickBooks Desktop and are stressing about moving to QuickBooks Online, in this webinar, get your questions answered and learn tips and tricks to make the process easier for you.
Key Questions:
* When is the best time to make the shift to QuickBooks Online?
* Will my current version of QuickBooks Desktop stop working?
* I have a really old version of QuickBooks. What should I do?
* I run my payroll in QuickBooks Desktop now. How is that affected?
*Does it bring over all my historical data? Are there things that don't come over?
* What are the main differences between QuickBooks Desktop and QuickBooks Online?
* And more
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This presentation delves into the systemic blind spots within pharmaceutical science and regulatory systems, emphasizing the significance of "inactive ingredients" and their influence on therapeutic equivalence. These blind spots, indicative of normalized systemic failures, go beyond mere chance occurrences and are ingrained deeply enough to compromise decision-making processes and erode trust.
Historical instances like the 1938 FD&C Act and the Generic Drug Scandals underscore how crisis-triggered reforms often fail to address the fundamental issues, perpetuating inefficiencies and hazards.
The narrative advocates a shift from reactive crisis management to proactive, adaptable systems prioritizing continuous enhancement. Key hurdles involve challenging outdated assumptions regarding bioavailability, inadequately funded research ventures, and the impact of vague language in regulatory frameworks.
The rise of large language models (LLMs) presents promising solutions, albeit with accompanying risks necessitating thorough validation and seamless integration.
Tackling these blind spots demands a holistic approach, embracing adaptive learning and a steadfast commitment to self-improvement. By nurturing curiosity, refining regulatory terminology, and judiciously harnessing new technologies, the pharmaceutical sector can progress towards better public health service delivery and ensure the safety, efficacy, and real-world impact of drug products.Mate, a short story by Kate Grenvile.pptx
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A powerpoint presentation on the short story Mate by Kate Greenville. This presentation provides information on Kate Greenville, a character list, plot summary and critical analysis of the short story.A PPT Presentation on The Princess and the God: A tale of ancient India by A...
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A PPT Presentation on The Princess and the God: A tale of ancient India by Aaron ShepardAdventure Activities Final By H R Gohil Sir
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Adventure Activities Final By H R Gohil SirRass MELAI : an Internet MELA Quiz Finals - El Dorado 2025
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Finals of Rass MELAI : a Music, Entertainment, Literature, Arts and Internet Culture Quiz organized by Conquiztadors, the Quiz society of Sri Venkateswara College under their annual quizzing fest El Dorado 2025. Information Technology for class X CBSE skill Subject
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These questions are based on cbse booklet for 10th class information technology subject code 402. these questions are sufficient for exam for first lesion. This subject give benefit to students and good marks. if any student weak in one main subject it can replace with these marks.APM People Interest Network Conference - Oliver Randall & David Bovis - Own Y...
APM People Interest Network Conference - Oliver Randall & David Bovis - Own Y...Association for Project Management
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APM People Interest Network Conference 2025
- Autonomy, Teams and Tension
- Oliver Randall & David Bovis
- Own Your Autonomy
Oliver Randall
Consultant, Tribe365
Oliver is a career project professional since 2011 and started volunteering with APM in 2016 and has since chaired the People Interest Network and the North East Regional Network. Oliver has been consulting in culture, leadership and behaviours since 2019 and co-developed HPTM??an off the shelf high performance framework for teams and organisations and is currently working with SAS (Stellenbosch Academy for Sport) developing the culture, leadership and behaviours framework for future elite sportspeople whilst also holding down work as a project manager in the NHS at North Tees and Hartlepool Foundation Trust.
David Bovis
Consultant, Duxinaroe
A Leadership and Culture Change expert, David is the originator of BTFA? and The Dux Model.
With a Masters in Applied Neuroscience from the Institute of Organisational Neuroscience, he is widely regarded as the ¡®Go-To¡¯ expert in the field, recognised as an inspiring keynote speaker and change strategist.
He has an industrial engineering background, majoring in TPS / Lean. David worked his way up from his apprenticeship to earn his seat at the C-suite table. His career spans several industries, including Automotive, Aerospace, Defence, Space, Heavy Industries and Elec-Mech / polymer contract manufacture.
Published in London¡¯s Evening Standard quarterly business supplement, James Caan¡¯s ¡®Your business¡¯ Magazine, ¡®Quality World¡¯, the Lean Management Journal and Cambridge Universities ¡®PMA¡¯, he works as comfortably with leaders from FTSE and Fortune 100 companies as he does owner-managers in SME¡¯s. He is passionate about helping leaders understand the neurological root cause of a high-performance culture and sustainable change, in business.
Session | Own Your Autonomy ¨C The Importance of Autonomy in Project Management
#OwnYourAutonomy is aiming to be a global APM initiative to position everyone to take a more conscious role in their decision making process leading to increased outcomes for everyone and contribute to ¡°a world in which all projects succeed¡±.
We want everyone to join the journey.
#OwnYourAutonomy is the culmination of 3 years of collaborative exploration within the Leadership Focus Group which is part of the APM People Interest Network. The work has been pulled together using the 5 HPTM? Systems and the BTFA neuroscience leadership programme.
https://www.linkedin.com/showcase/apm-people-network/about/
Rass MELAI : an Internet MELA Quiz Finals - El Dorado 2025
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APM People Interest Network Conference - Oliver Randall & David Bovis - Own Y...
APM People Interest Network Conference - Oliver Randall & David Bovis - Own Y...Association for Project Management
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Tablas Doppler SIED julio 2018 sin DV.pdf
- 1. ?ndices de Pulsatilidad Elaboraci¨®n propia a partir de los art¨ªculos citados ACM: Arduini D, Rizzo G. Normal values of Pulsatility Index from fetal vessels: A cross-sectional study on 1556 healthy fetuses. J Perinat Med 1990; 18: 165-72 AU: Arduini D, Rizzo G. Normal values of Pulsatility Index from fetal vessels: A cross-sectional study on 1556 healthy fetuses. J Perinat Med 1990; 18: 165-72 Relaci¨®n C/U: Morales Rosell¨® J, Khalil A, Morlando M et al. Doppler reference values of the fetal vertebral and middle arteries, at 19-41 weeks gestation. J Matern Fetal Neonatal 2014; Early on line:1-6. Consultado en http://informahelthcare.com/jmf en julio de 2018 AUt: G¨®mez O, Figueras F, Fern¨¢ndez F et al. References ranges for uterine artery mean pulsatility index at 11-41 weeks of gestation. Ultrasound Obstet Gynecol 2008;32: 128-32 Sem ACM (P5) AU (P95) Rel C/U (P5) AUt (P95) Sem 20 1,36 2,03 0.93 1,61 20 21 1,40 1,96 0,99 1,54 21 22 1,44 1,90 1.04 1,47 22 23 1,47 1,85 1,08 1,41 23 24 1,49 1,79 1,12 1,35 24 25 1,51 1,74 1,16 1,30 25 26 1,52 1,69 1,19 1,25 26 27 1,53 1,65 1,21 1,21 27 28 1,53 1,61 1,23 1,17 28 29 1,53 1,57 1,25 1,13 29 30 1,52 1,54 1,25 1,10 30 31 1,51 1,51 1,26 1,06 31 32 1,49 1,48 1,26 1,04 32 33 1,46 1,46 1,25 1,01 33 34 1,43 1,44 1,24 0,99 34 35 1,40 1,43 1,22 0,97 35 36 1,36 1,42 1,20 0,95 36 37 1,32 1,41 1,17 0,94 37 38 1,27 1,40 1,14 0,92 38 39 1,21 1,40 1,10 0,91 39 40 1,15 1,40 1.06 0,90 40 41 1,08 1,41 1.01 0,89 41