Migrant and seasonal farm working (MSFW) women report higher rates of intimate partner violence (IPV) as compared to the national average (Hazen and Soriano in Violence Against Women 13:562-582, 2007). Although prior researchers have indicated that implementing IPV screenings in healthcare settings significantly increases rates of identifying IPV (Nelson et al. in Ann Intern Med 156:1-17, 2012; Ramsay et al. in Br Med J 325:314-318, 2002); many providers opt not to screen (Jonassen and Mazor in Acad Med 78(10):S20-S23, 2003; Smith et al. in Fam Community Health 20:1-18, 1998). The purpose of this policy brief is to review previous research related to IPV among MSFW women and, based on the findings, recommend policies that may help to improve the detection, intervention, resources, and available science with respect to this underserved population.
Overbreathing Among Schoolgirls-Moss and McEvedy B RMS we also wish to make it clear that the opinions expressed in this article are ours alone. The cost of the psychiatric side of the programme was defrayed by a grant from the Research Committee of the Middlesex Hospital. We would like to thank Professor A.
Background. Uterine inversion is a rare, but life threatening, obstetrical emergency which occurs when the uterine fundus collapses into the endometrial cavity. Various conservative and surgical therapies have been outlined in the literature for the management of uterine inversions. Case. We present a case of a chronic, recurrent uterine inversion, which was diagnosed following spontaneous vaginal delivery and recurred seven weeks later. The uterine inversion was likely due to a leiomyoma. This late-presenting, chronic, recurring uterine inversion was treated with a vaginal hysterectomy. Conclusion. Uterine inversions can occur in both acute and chronic phases. Persistent vaginal bleeding with the appearance of a prolapsing fibroid should prompt further investigation for uterine inversion and may require surgical therapy. A vaginal hysterectomy may be an appropriate management option in select populations and may be considered in women who do not desire to maintain reproductive function.
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