The VAS-scales showed no difference in postoperative pain comparing closure to non-closure of the parietal peritoneum. However, the use of analgesics is lower in the non-closure group. We suggest leaving the parietal peritoneum open when performing LSCS.

The VAS-scales showed no difference in postoperative pain comparing closure to non-closure of the parietal peritoneum. However, the use of analgesics is lower in the non-closure group. We suggest leaving the parietal peritoneum open when performing LSCS.

Most patients under the age of 60 with bleeding disorders can be investigated by a one-stop out-patient procedure with the use of hysterosonography and endometrial sampling. Diagnostic or operative hysteroscopy was needed in cases of insufficient hysterosonography and suspicion of intracavitary abnormalities. This procedure can assist in determining the therapeutic approach and can often lessen the extent of surgical intervention or obviate it altogether.

Acta Obstet Gynecol Scand 2001; 80: 645-651. C Acta Obstet Gynecol Scand 2001Background. To combine findings of normal mid-line echoes from TVS (trans-vaginal sonography) with cut-off levels for endometrial thickness, in order to examine the associated risk of abnormalities in the uterine cavity. Design and Setting. Two center prospective study at a university clinic and a central hospital in Denmark. Participants. Three hundred and fifty-five pre-menopausal patients with abnormal uterine bleeding, and indications for endometrial sampling or surgery.Interventions. The thickness of the endometrium was measured, and the mid-line echoes were evaluated using TVS. The findings from the endometrial sampling, combined with the evaluation of the uterine cavity using operative hysteroscopy (115), hysterectomy (74) or HSE (hysterosonographic examination) (166), were used as the true values. Results. The mean (∫s.d.) endometrial thickness was significantly different in patients with hyperplasia 11.5 mm (∫5.0), polyps 11.8 mm (∫5.1), sub-mucous myomas 7.1 mm (∫3.4) and in patients without these abnormalities 8.37 (∫3.9) (pϽ0.001). Hyperplasia and/or polyps were present in 20% of all patients, and in 8% of 143 patients with an endometrial thickness of AE7 mm. This proportion did not decrease with lower cut-off levels for endometrial thickness. Receiver operating characteristic (ROC) curves were not optimal for excluding hyperplasia or polyps by endometrial thickness. In 173 cases with a distinct, regular midline echo without echo-dense foci in TVS the proportion of patients with abnormalities was 16% (11-23). This proportion did not decrease with cut-off levels for endometrial thickness. Conclusions. Using TVS, low levels of endometrial thickness reduced the possibility of abnormalities such as polyps and hyperplasia, but did not exclude them. Low cut-off levels for endometrial thickness did not increase the diagnostic performance in cases with normal sonograms.

ResuméI den nye dagtilbudslov specificeres det, at læringsmiljøet i dagtilbuddet skal kvalificeres og evalueres kontinuerligt af pædagogerne gennem inddragelse af børns perspektiver (Dagtilbudsloven 2018 § 9.). Det kalder på ny viden om, hvordan vi involverer børns perspektiver i evaluering og udvikling af den pædagogiske praksis. Denne artikel bestræber at vise, hvordan pædagoger, med afsæt i børns perspektiver, dagligt møder og udvikler læringsmiljøet i dagtilbuddet. Med det empiriske udtryk situerede evaluerende praksisser viser artiklen, at den pædagogiske praksis har en evaluerende karakter i sig selv, fordi den har en pædagogisk rettethed indlejret i sig, der retter sig mod barnet og det pædagogiske projekt (Togsverd & Rothuizen, 2016). Med inspiration fra Max van Manens fænomenologi og forståelser af pædagogisk takt (Manen, 1991) og det pædagogiske øjeblik (Manen, 2012) er hensigten med artiklen først at vise, hvordan den pædagogiske rettethed på forskellige måder kommer til udtryk i pædagogisk arbejde. Dernæst at diskutere, hvordan pædagogers rettethed er et udtryk for pædagogisk kvalitet, og hvorfor den bør anerkendes som en vigtig del af pædagogers daglige evalueringspraksis med småbørn. På den måde tilstræber artiklen at bidrage med nye opmærksomheder omkring den evalueringskultur, dagtilbuddene lige nu står over for at skulle udvikle. AbstractSituated evaluative practices in pedagogical workThe new Danish Day Care Act specifies that the learning environment in daycare settings must be qualified and evaluated continuously by the pedagogues and with the involvement of children’s perspectives (Day Care Act 2018, Section 9). This implies the need for new knowledge about how we involve children’s perspectives in the evaluation and development of pedagogical practice. This article seeks to show how the pedagogues with the involvement of children’s perspectives develop the learning environment in a daycare setting. With the empirical term, situated evaluative practices the article proposes that pedagogical practice is evaluative in itself due to its inherent pedagogical intentionality. Inspired by Max van Manen’s “Phenomenology of Practice” (2007) and his concepts of pedagogical moment (2012) and pedagogical tact (1991), the purpose of the article is to, 1) describe and discuss pedagogical intentionality as a pedagogical situated and evaluative phenomenon, 2) to discuss why pedagogue’s intentionality should be recognized as an important part of pedagogue’s daily evaluation practice. The article thus seeks to contribute with new perspectives regarding the development of the new culture of evaluation, which Danish daycares currently are developing.