Latest Updates

Infertility

    • Updates regarding the assessment and treatment of ovulatory disorders
    • Ovulation induction with letrozole in anovulatory patients
    • Advances in in vitro fertilization, including genetic screening
    • Fertility preservation options, including in vitro oocyte maturation, ovarian tissue cryopreservation, and mature oocyte cryopreservation

Human Trafficking

    • Victims of the human sex trafficking industry interface with healthcare providers at high rates.
    • Warning signs for human sex trafficking have gained greater recognition, and multiple intervention programs have been established to help providers respond to victims of sex trafficking.

The Use of Adjuvant or Neoadjuvant Chemotherapy in Extremity and Truncal Sarcoma

    • Soft tissue sarcomas are heterogeneous tumors with diverse behavior and response to therapy.
    • Increasing data favor a histology-driven approach to soft tissue sarcoma multidisciplinary treatment.
    • Chemotherapy in the management of primary resectable soft tissue sarcoma is controversial and evolving.
    • Recent evidence supports a more routine use of neoadjuvant chemotherapy in high-risk soft tissue sarcoma.
    • Recent suggest that narrow, but negative margins with radiotherapy lead to favorable local control rates.

The Use of Adjuvant or Neoadjuvant Chemotherapy in Extremity and Truncal Sarcoma

    • Soft tissue sarcomas are heterogeneous tumors with diverse behavior and response to therapy.
    • Increasing data favor a histology-driven approach to soft tissue sarcoma multidisciplinary treatment.
    • Chemotherapy in the management of primary resectable soft tissue sarcoma is controversial and evolving.
    • Recent evidence supports a more routine use of neoadjuvant chemotherapy in high-risk soft tissue sarcoma.
    • Recent suggest that narrow, but negative margins with radiotherapy lead to favorable local control rates.

Squamous Cell Carcinoma of the Esophagus

    • Endoscopic therapy has become a definitive therapeutic modality for intramucosal disease.
    • Definitive chemoradiation has become an alternative strategy in patients demonstrating a complete clinical response
    • Trimodality therapy has emerged as a preferred approach in most operable patients with resectable tumors.

Antepartum and Postpartum Hemorrhage

    • Delineation of obstetric hemorrhage class based on blood loss in addition to vital sign changes
    • Use of Maternal Early Warning Criteria for early detection of acute hemorrhage
    • Use of obstetric hemorrhage emergency flowcharts to help guide resuscitation
    • Use of rotational thromboelastometry to guide obstetric hemorrhage blood product administration
    • Early use of tranexamic acid to reduce obstetric hemorrhage mortality

Squamous Cell Carcinoma of the Esophagus

    • Endoscopic therapy has become a definitive therapeutic modality for intramucosal disease.
    • Definitive chemoradiation has become an alternative strategy in patients demonstrating a complete clinical response
    • Trimodality therapy has emerged as a preferred approach in most operable patients with resectable tumors.

Hypothyroidism and Thyrotoxicosis

    • 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum
    • 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis.
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