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BACKGROUND Various therapies are currently used to treat symptoms related to the niche (an anechoic area) in the caesarean scar, in particular to treat abnormal uterine bleeding (AUB). OBJECTIVE To systematically review the available literature reporting on the effect of various therapies on niche-related symptoms. SEARCH STRATEGY A systematic search of(More)
BACKGROUND A caesarean section (CS) can cause a defect or disruption of the myometrium at the site of the uterine scar, called a niche. In recent years, an association between a niche and postmenstrual spotting after a CS has been demonstrated. Hysteroscopic resection of these niches is thought to reduce spotting and menstrual pain. However, there are no(More)
At Angleur (eastern Belgium), a 53,000 m3 dump site, related to former Zn extraction, contains high concentrations of heavy metals and arsenic associated with minerals such as arsenopyrite (FeAsS), franklinite (ZnFe2O4) and willemite (Zn2SiO4). Eight representative samples were investigated by means of a modified availability test, which pointed towards a(More)
OBJECTIVE To compare in women with postmenstrual spotting and a uterine caesarean scar defect the effectiveness of a hysteroscopic niche resection versus no treatment. DESIGN Multicentre randomised controlled trial. SETTING 11 hospitals collaborating in a consortium for women's health research in the Netherlands. POPULATION Women reporting(More)
The attenuation of ultrasonic waves (UW) in a medium is dependent of the frequency. If damage is induced in this medium, the frequency dependency of the attenuation changes. The normalised slope of the frequential attenuation (S n) is proposed as parameter to quantify the induced damage. A first case study shows the use of S n for in-situ UW measurements in(More)
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