Twenty years' experience with the Swiss data registry for assisted reproductive medicine: outcomes, key trends and recommendations for improved practice.

QUESTIONS UNDER STUDY The impact of assisted reproductive technology (ART) on Swiss demography was quantified. From 1993 to 2012 the number of deliveries, including multiples, generated by ART was compared with overall delivery numbers. Swiss experts in ART collaborated in a consensus to increase successful outcomes, to reduce the incidence of complications of ART and to validate recommendations through statistical review of available data. METHODS Data generated between 1993 and 2012 and published by the Federal Office of Statistics (BfS) were compared with the Swiss database on ART (FIVNAT-CH) as organised by the Swiss Society of Reproductive Medicine (SGRM). From these analyses a panel of Swiss experts in ART extracted recommendations to improve current practice, to prevent complications related to ART and to recommend changes in current Swiss legislation dealing with ART. RESULTS Since 1993 the age of women giving birth rose together with the number of women asking for ART. This demographic trend was reflected in a rise in the number of deliveries generated by ART (in 2012: 2.2%) and the proportion of multiple births (in 2012: 17.6%). The outcome of ART was most negatively influenced by the age of the treated patient. The number of retrieved oocytes decisively impacted the likelihood of delivery, the risk of multiple births and the incidence of ovarian hyperstimulation syndrome. CONCLUSIONS Optimal ovarian stimulation should be designed for the retrieval of 10 to 15 oocytes per treatment. Swiss legislation should enable and stimulate a policy of elective single embryo transfer to avoid multiple births.

The normal range of the leukocyte count: Implications for surveillance of occupational and environmental exposure and the practice of preventive medicine

Leukopenia, the leukocyte count, and prognosis of disease are interrelated; a systematic search of the literature was undertaken to ascertain the strength of the evidence. One hundred seventy-one studies were found from 1953 onward pertaining to the predictive capabilities of the leukocyte count. Of those studies, 42 met inclusion criteria. An estimated range of 2,200cells/μL to 7,000cells/μL was determined as that which indicates good prognosis in disease and indicates the least amount of risk to an individual overall. Tables of the evidence are included indicating the disparate populations examined and the possible degree of association. ^

The American vegetable practice, or, A new and improved guide to health. : Designed for the use of families. : In six parts. Part I. Concise view of the human body, with engraved and wood-cut illustrations. Part II. Glance at the old school practice of physic. Part III. Vegetable materia medica, with colored illustrations. Part IV. Compounds. Part V. Practice of medicine, based upon what are deemed correct physiological and pathological principles. Part VI. Guide for women, containing a simplified treatise on childbirth, with a description of the diseases peculiar to females and infants. /

Errata and advertisement for "New England Depot. D.L. Hale" at end of v. 2.

Surgical anatomy; a treatise on human anatomy in its application to the practice of medicine and surgery,

v.1. Upper extremity; back of neck; shoulder; trunk; cranium; scalp; face.--v.2 Neck; mouth; pharynx; larynx; nose; orbit; eyeball; organ of hearing; brain; male perineum; female perineum.--v.3 Abdomen; pelvic cavity; lymphatics of the abdomen and pelvis; thorax; lower extremity.

The philosophical and mathematical elements of physick in two books, the first containing the theory, the second the practice : compos'd for the use of all who study the art of medicine /

Mode of access: Internet.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

A Treatise on the practice of medicine

Mode of access: Internet.

A treatise on the practice of medicine /

Mode of access: Internet.

A manual of the principles and practice of ophthalmic medicine and surgery /

Mode of access: Internet.

Principles and practice of ophthalmic medicine and surgery /

Mode of access: Internet.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

Howard's domestic medicine: being a revised edition of Horton Howard's anatomy and physiology, and midwifery, diseases of women and children. Practice of medicine and materia medica... /

Includes index.