LEADER 00953nam0 2200301 450 001 9911010679803321 005 20250623172317.0 010 $a978-88-230-1150-2 100 $a20250623d2006----km y0itay50 ba 101 0 $aita 102 $aIT 105 $a 001yy 200 1 $a<>sindacalizzazione del pubblico impiego$edalle origini delle rappresentanze alla funzione pubblica CGIL$fa cura di Pasquale Iuso$gpresentazione di Lorenzo Mazzoli 210 $aRoma$cEdiesse$d2006 215 $a571 p.$d25 cm 225 1 $aStoria e memoria 454 0$12001 610 0 $aSindacati$aItalia$aStoria 610 0 $aAmministrazione pubblica$aPersonale$aSindacati 676 $a331.88$v22$zita 702 1$aIuso,$bPasquale 801 0$aIT$bUNINA$gREICAT$2UNIMARC 901 $aBK 912 $a9911010679803321 952 $aA / IUS 1$b12929$fBFS 959 $aBFS 996 $aSindacalizzazione del pubblico impiego$94398109 997 $aUNINA LEADER 01451nam0 22002891i 450 001 UON00415872 005 20231205104800.256 100 $a20130108r1969 |0itac50 ba 101 $afre 102 $aFR 105 $a|||| 1|||| 200 1 $aEssai sur la vie et les oeuvres du trouvere Adan de le Halle. 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Thése présentée a la faculté des lettres de Paris$91338504 997 $aUNIOR LEADER 04790nam 22006015 450 001 9910300164003321 005 20200706023719.0 010 $a3-319-18654-X 024 7 $a10.1007/978-3-319-18654-2 035 $a(CKB)3710000000460305 035 $a(EBL)3568052 035 $a(SSID)ssj0001546583 035 $a(PQKBManifestationID)16141496 035 $a(PQKBTitleCode)TC0001546583 035 $a(PQKBWorkID)14796537 035 $a(PQKB)10776248 035 $a(DE-He213)978-3-319-18654-2 035 $a(MiAaPQ)EBC3568052 035 $a(PPN)188456961 035 $a(EXLCZ)993710000000460305 100 $a20150804d2015 u| 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aOvulation Stimulation with Gonadotropins /$fby Jean-Claude Emperaire 205 $a1st ed. 2015. 210 1$aCham :$cSpringer International Publishing :$cImprint: Springer,$d2015. 215 $a1 online resource (182 p.) 300 $aDescription based upon print version of record. 311 $a3-319-18653-1 320 $aIncludes bibliographical references at the end of each chapters. 327 $aForeword -- Preface.- Past and Present: Evolution of ideas.- Physiology: The ante-hypophysis ? ovarian follicle couple.- Follicle Stimulating Hormone (FSH).- Luteinizing hormone (LH).- Human Chorionic Gonadotropin (hCG).- Which Gonadotropin? FSH. LH. hCG. Practical considerations.- Prior to the stimulation -- Looking for other infertility factors.- Assessment of the patient?s status.- Assessment of the ovarian status.- The Monitoring; Hormonal (functional) monitoring; Sonographic (morphological) monitoring; Monitoring post-hCG?.- The Triggering of Ovulation.- The ovulatory process.- Spontaneous triggering of ovulation -- Therapeutic triggering of ovulation.- The luteal phase support.- Mono- and pauci- follicular stimulation.- Multi-follicular stimulation.- The Prevention of Complications.- Multiple pregnancy.- The ovarian hyperstimulation syndrome.- Classic Stimulation.- mono-, bi- or pauci- follicular.- The objectives.- The means.- The Stimulation of the ovulatory Patient.- Monofollicular stimulation.- Bifollicular stimulation.- Paucifollicular stimulation.- The Stimulation of the anovulatory patient.- The diagnosis of anovulation; Hypogonadotropic anovulation -- Normogonadotropic anovulation -- Hypergonadotropic anovulation.- Multifollicular Stimulation.- Past and present.- Handling the multifollicular stimulation.- Poor ovarian responses -- Conclusion. 330 $aHow does one learn to stimulate ovulation? Often by oneself, when there is no opportunity to benefit from a mentor?s experience. But options abound regarding the evaluation strategy, protocol design, gonadotropin preparations, posology, treatment duration, and when and how to trigger ovulation. Proper, safe stimulation requires critical anticipation of ovarian reactions. There seems to be little evidence-based consensus in the field of ovarian stimulation. Though they all face the same situation, there seem to be nearly as many procedures as there are clinicians in the field; as a result, approaches may vary within a given fertility center or even in the same team. Even though efforts have been made to arrive at a general consensus, the basic guidelines are often reinterpreted according to individual inclinations; hence the need to turn to experience-based decisions. This book is based on the author?s experience gathered over forty years and more than 30,000 cycles of classical and IVF ovulation stimulations, particularly the thousand most recent cycles that resulted in a clinical pregnancy. It is not intended as a ?perfect solution?, as other approaches certainly remain valid. Rather, the book presents the author?s own analysis and insights gained from managing thousands of stimulation cycles. 606 $aGynecology 606 $aReproductive health 606 $aMedicine 606 $aGynecology$3https://scigraph.springernature.com/ontologies/product-market-codes/H26006 606 $aReproductive Medicine$3https://scigraph.springernature.com/ontologies/product-market-codes/H56002 606 $aBiomedicine, general$3https://scigraph.springernature.com/ontologies/product-market-codes/B0000X 615 0$aGynecology. 615 0$aReproductive health. 615 0$aMedicine. 615 14$aGynecology. 615 24$aReproductive Medicine. 615 24$aBiomedicine, general. 676 $a610 700 $aEmperaire$b Jean-Claude$4aut$4http://id.loc.gov/vocabulary/relators/aut$0271149 906 $aBOOK 912 $a9910300164003321 996 $aOvulation Stimulation with Gonadotropins$92510878 997 $aUNINA