background: although heterotopic gestation is common in assisted reproductive techniques, it is very rare in natural conception and clomiphene induced pregnancy. diagnosis and appropriate intervention of heterotopic pregnancy requires a high index of suspicious. case: in this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live...

This paper presents the results of a six-week unit on seismology conducted in a fifth-grade classroom. The unique feature of the unit involved the use of classroom technology designed to support students' participation in an authentic seismological practice: the interpretation of seismograms to determine the epicenter and magnitude of earthquakes. The goals of the empirical study were (1) to ga...

Evidence-based practice (EBP), in combination with clinical expertise and patient values wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer higher standard

Despite the efforts of educators, public health officials, and HIV/AIDS prevention experts, condom promotion has failed to stop the HIV epidemic in most of sub-Saharan Africa and most researchers and policy makers have focused on risk reductions for interventions for penetrative sex. We consider another HIV prevention option: female-to-male oral sex (fellatio). Extensive medical evidence indica...

resolved and the follow-up period was two months. Both adolescents had no history of diabetes, smoking, sexual activity, or corticosteroid/contraceptive use. The age of menarche in both girls was 11 years. Predisposing factors for mastitis and breast abscess include skin lesions, mammary duct ectasia, trauma related to sexual foreplay, nipple piercing, and shaving or plucking periareolar hair [...

This document provides further detail on the evidence used and the issues considered in developing the UK National Guideline on Safer Sex Advice. The objective of the Guideline document is to provide guidance for practitioners in Level 3 Genitourinary medicine (GUM) services (Tier 5 in Scotland) on safer sex advice provided in sexually transmitted infection (STI) and HIV management consultation...

Adverse events are, unfortunately, common components of surgical practice. Much has been done to develop safer systems to prevent these adverse events; however, there has been less focus on the surgeon experiencing these events. This article presents a framework to understand surgeons' reactions to adverse events that was derived from a more recent study as well as a review of relevant psycholo...

Although prelabor rupture of membranes at term is common, in most cases, the spontaneous onset of labor relieves the obstetrician of the need for making management decisions. The standard practice in the United States has been to induce labor with intravenous oxytocin in that minority of patients who fail to labor spontaneously. Controlled trials suggest that this practice is associated with hi...

This paper focuses on the role played by the concept of Common Ground by investigating various roles played by consensus and dissensus in different argumentation theories. A dynamic conception of Common Ground as a second order consensus will be invoked instead of a static definition as starting point, condition or result of an argumentative practice.