love This , but it would be very helpful , if user has control on play back speed.. to slow or fast forward the playspeed.

MP3 Audio Version of Green-top Guideline No. 75, Cervical Cerclage, published February 2022

The purpose of this guideline is to review the literature and provide evidence-based guidance on the use of cerclage in women at risk of preterm birth and second trimester loss.

1. Key recommendations (0:35)
2. Background and scope (03:03)
3. Identification and assessment of evidence (05:35)
4. Definitions (07:30)
5. History-indicated cerclage (11:14)
6. Ultrasound-indicated cerclage (16:54)
6.1. When should an ultrasound-indicated cerclage be offered? (16:58)
6.1.1 Women with a singleton pregnancy and a history of spontaneous second trimester loss or preterm birth (19:45)
6.2. Who should be offered serial sonographic surveillance with a view to ultrasound-indicated cerclage? (24:19)
7. Can cervical cerclage be recommended in any other groups of women considered at increased risk of preterm birth (29:50)
7.1. Multiple pregnancy (30:00)
7.2. Cervical surgery, trauma and uterine abnormalities (35:57)
7.3. Women with raised BMI (43:43)
8. Transabdominal cerclage (45:09)
8.1. When should a transabdominal cerclage be considered? (45:14)
8.2. Should a transabdominal cerclage be performed laparoscopically? (50:06)
8.3. How should women who experience delayed miscarriage or fetal death be cared for? (53:08)
9. Emergency cerclage (55:19)
9.1. When should a rescue cerclage be discussed and considered? (55.22)
9.2. What are the contraindications to cerclage insertion? (1:00:39)
9.3. What information should be given to women before cerclage insertion? (1:01:28)
10. Pre-operative management (1:08:00)
10.1. What investigations should be performed before insertion of cervical cerclage? (1:08:04)
10.2. Should amniocentesis to detect infection be performed before rescue or ultrasound-indicated cerclage? (1:10:53)
10.2.1. Is amnioreduction before emergency cerclage recommended? (1:14:23)
10.2.2. Should a latency period be observed between presentation and insertion of a rescue or ultrasound-indicated cerclage? (1:15:20)
10.2.3. Should routine genital tract screening for infection be carried out before cerclage insertion? (1:16:17)
11. Operative issues (1:17:35)
11.1. Should perioperative tocolysis be used for insertion of cerclage? (1:17:39)
11.2. Should perioperative antibiotics be given? (1:19:11)
11.3. What method of anaesthesia should be employed for the insertion of cerclage? (1:20:31)
11.4. Can cerclage be performed as a day-case procedure? (1:21:53)
11.5. Which technique and material should be used? (1:22:58)
12. Adjuvant management (1:28:53)
12.1. Bed rest (1:28:56)
12.2. Sexual intercourse (1:30:36)
12.3. Is there a role for post-cerclage serial sonographic surveillance of cervical length? (1:31:15)
12.4. Is fetal fibronectin testing useful following insertion of a cervical cerclage? (1:35:07)
12.5. Should women receive supplement progesterone following cerclage? (1:37:38)
12.6. Should women be offered Arabin pessary or progesterone instead of cerclage? (1:40:44)
13. When should the cerclage be removed? (1:44:39)
13.1. Should the cerclage be removed following PPROM? (1:47:30)
14. Recommendations for future research (1:50:28)
15. Suggested audit topics (1:51:25)
Closing statement (1:52:05)

Green-top Guideline No. 75 Cervical Cerclage

بر الوالدين الشعور بالتقصير  - محمد مختار الشنقيطي   3

مقال فن الإقناع - أفنان القاضي

In today's episode I’m talking to one of the founders and teachers of Learn Real English - Kristin Dodds.

Read the show notes, full transcript & join the discussion at: englishthesmartway.com/session6

Kristin has more than 20 years of experience teaching English to speakers of other languages.  She has taught English in South Korea, Thailand and Japan, as well as in the United States.  She has a CELTA certificate, as well as a Master’s degree in TESOL, which stands for Teaching English to Speakers of other Languages.

Kristin Dodds with AJ Hoge and Joe Weiss run together Learn Real English which helps students around the world becoming fluent and confident English speakers.

The Real English Conversation Lessons - which is the name of the course - teaches you English without focusing on grammar rules. Instead you listen to real English conversations of native English speakers. This way you will learn grammar subconsciously without even realising it.

In the first part of our interview Kristin is sharing with us her challenging first experience in teaching English in South Korea and her soon realisation that studying grammar to succeed in English isn’t effective at all. Later in the interview Kristin talks about acquiring language in the most natural way - by listening a lot - which is actually very similar to the way how children learn language.

We also talk about how opening up to culture of a country can help us tremendously with our language learning. Kristin then shares with us the success story of her Thai friend, her number one tip for English learners, and she also talks about the benefits of free voluntary reading.

Listen to and enjoy today's episode with Kristin Dodds from Learn Real English.

In the session you will learn
- How was Kristin’s first experience in teaching English in Korea and Georgia (9:01)
- How Kristin realised that teaching English using textbooks isn’t effective (14:51, 15:30)
- What we can learn from the research of Stephen Krashen and James Asher (15:30)
- How you can acquire language as a child in the most natural way (15:30)
- The success story of Kristin’s friend from Thailand (21:45)
- How can Free voluntary reading improve our English - not just reading skills (26:01)
- How opening yourself up to culture of a country can help you tremendously with your language learning (28:15)
- What to do when your brain wants to translate from your native language to English instead of directly thinking in English (33:30)
- Kristin’s number one tip for English learners around the world (36:32)
Enjoy! :)

Read the show notes, full transcript & join the discussion at: englishthesmartway.com/session6

English the Smart Way Podcast

ETSW 6: Stop studying grammar - focus on listening! Interview with Kristin Dodds, Learn Real English

Without student engagement, is there any point in trying to teach anything? 
These days the education conversation is clearly shifting back towards learning, rather than school work. But what if your students aren’t engaged, or interested in what you think they should learn, or what the curriculum thinks they should learn? And what if teachers think that student centred learning is a great idea, but the students don’t. Surely not every student is enthusiastic about learning. Is lack of student engagement the elephant in the room… or the classroom? My guest today is Richard Andrew, a specialist in online learning. He’s had a wide range of experience in classrooms across Australia and interacted with hundreds of teachers through the professional development courses he delivers. In this episode we take a light hearted but serious look at possibly one of the most significant topics in the education debate.

This podcast is brought to you by LearnFast. To find out more about science based language, learning and reading programs for your school or child, visit www.learnfasthome.com.au

To comment on this podcast, send your emails to feedback@learnfastgroup.com.au

83: Student engagement is critical to learning success with Richard Andrew.

اقتباس من كتاب (حياة في الإدارة) لغازي عبدالرحمن القصيبي

مقال ماذا تفعل عندما تكون لديك أفكار كثيرة دون وقت كاف بصوت هاجر

الجزء الاول بيبداء بكان با ماكان 
ومواجهة بين سندريلا و الساحرة " اشجان " بعد ما سندريلا اتجوزت ب 3 سنين

ج 1  ف1 من كتاب سندريلا سيكريت | الحكواتية ريما

بعنوان : انا مسؤولة 
واللي بيبداء بالمقابلة التانية بين اشجان و سندريلا
وفيه اسئلة جديدة في الاخر , حاولوا تحلوها

ج1 من ف2, كتاب سندريلا سيكريت | الحكواتية ريما

حكاية الخليفة السادس الفاطمي المنصور الحاكم بأمر الله
اللي كان عهده كله قصص وحكايات غريبة 
تعالوا نسمع ونعرف هي اية الحكاية

حكاية الحكام بأمر الله الخلفية 6 الفاطمي | الحكواتية ريما

This week Amie and special guest, Cat Atkin (acute medicine trainee), talk about a case of an elderly patient who's recently been feeling more and more tired.

Episode 32: Multiple Myeloma

Evidence based information for the public from the Royal College of Obstetricians & Gynaecologists.

Green-top Guideline No. 75 Cervical Cerclage

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