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The HER Foundation is the world’s largest grassroots network of hyperemesis gravidarum (HG) survivors and experts, as well as the leading website for HG information. [1] It was founded in 2002 by Kimber Wakefield MacGibbon, [2] Ann Marie King, [3] and Jeremy King. [4]
HG is estimated to affect 0.3–2.0% of pregnant women, although some sources say the figure can be as high as 3%. [6] [9] [5] While previously known as a common cause of death in pregnancy, with proper treatment this is now very rare. [13] [14] Those affected have a lower risk of miscarriage but a higher risk of premature birth. [15]
[5] There are various sources of input to the vomiting center: The chemoreceptor trigger zone at the base of the fourth ventricle has numerous dopamine D 2 receptors, serotonin 5-HT 3 receptors, opioid receptors, acetylcholine receptors, and receptors for substance P. Stimulation of different receptors are involved in different pathways leading ...
The mean age of the sample was 6 years at the onset of the syndrome, 8 years at first diagnosis, and 13 years at follow-up. As many as 39% of the children had resolution of symptoms immediately or within weeks of the diagnosis. Vomiting had resolved at the time of follow-up in 61% of the sample.
In mild forms of OHSS the ovaries are enlarged (5–12 cm) [4] and there may be additional accumulation of ascites with mild abdominal distension, abdominal pain, [4] nausea, [4] and diarrhea. [4] In severe forms of OHSS there may be hemoconcentration , thrombosis , distension, oliguria (decreased urine production), pleural effusion , and ...
The model was introduced by Kübler-Ross in her 1969 book On Death and Dying, [10] and was inspired by her work with terminally ill patients. [11] Motivated by the lack of instruction in medical schools on the subject of death and dying, Kübler-Ross examined death and those faced with it at the University of Chicago's medical school.
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