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These tests however have inherent biological variation in relation to menstrual cycle and ageing; and are also influenced by the intra and inter observer variations. The aim of this thesis was to develop a reliable method of examining the effect of ovarian cystectomy on ovarian reserve.I began by examining the ultrasound markers of ovarian reserve. AFC is measured using 2D ultrasound and there is some evidence that 3D ultrasound can make more reliable counts than 2D.

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Trent Garner a dumbass when he went into a rant about her objection to a terribly flawed history resolution that was just a Republican Party apologia and Democratic Party attack. Even the Republicans in the Senate couldn go along it was so risible. And her remark, if injudicious, is supported by abundant evidence.

Background: The provision of institutional long term care for older people varies across Europe reflecting different models of health care delivery. Care for dying residents requires integration of palliative care into current care work, but little is known internationally of the different ways in which palliative care is being implemented in the care home setting.Objectives: To identify and classify, using a new typology, the variety of different strategic, operational and organisational activities related to palliative care implementation in care homes across Europe.Design and methods: We undertook a mapping exercise in 29 European countries, using two methods of data collection: (1) a survey of country informants and (2) a review of data from publically available secondary data sources and published research. Through a descriptive and thematic analysis of the survey data we identified factors that contribute to the development and implementation of palliative care into care homes at different structural levels.

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