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Hysterectomy is the surgical removal of the uterus. It may involve removal of the cervix, fallopian tubes, other surrounding structures. Performed by a gynecologist, a hysterectomy may be total or partial. Removal of the uterus renders the patient unable to bear children and has surgical risks as well as long-term effects, so the surgery is recommended only when other treatment options are not available or have failed, it is the second most performed gynecological surgical procedure, after cesarean section, in the United States. Nearly 68 percent were performed for benign conditions such as endometriosis, irregular bleeding, uterine fibroids, it is expected that the frequency of hysterectomies for non-malignant indications will continue to fall given the development of alternative treatment options. Hysterectomy is a major surgical procedure that has risks and benefits, affects the hormonal balance and overall health of women; because of this, hysterectomy is recommended as a last resort after pharmaceutical or other surgical options have been exhausted to remedy certain intractable and severe uterine/reproductive system conditions.

There may be other reasons for a hysterectomy to be requested. Such conditions and/or indications include, but are not limited to: Endometriosis: growth of the uterine lining outside the uterine cavity; this inappropriate tissue growth can lead to bleeding. Adenomyosis: a form of endometriosis, where the uterine lining has grown into and sometimes through the uterine wall musculature; this can thicken the uterine walls and contribute to pain and bleeding. Heavy menstrual bleeding: irregular or excessive menstrual bleeding for greater than a week, it may be indicative of a more serious condition. Uterine fibroids: benign growths on the uterus wall; these muscular noncancerous tumors can grow in single form or in clusters and can cause extreme pain and bleeding. Uterine prolapse: when the uterus sags down due to weakened or stretched pelvic floor muscles causing the uterus to protrude out of the vagina in more severe cases. Reproductive system cancer prevention: if there is a strong family history of reproductive system cancers, or as part of recovery from such cancers.

Gynecologic cancer: depending on the type of hysterectomy, can aid in treatment of cancer or precancer of the endometrium, cervix, or uterus. In order to protect against or treat cancer of the ovaries, would need an oophorectomy. Transgender male affirmation: aids in gender dysphoria, prevention of future gynecologic problems, transition to obtaining new legal gender documentation. Severe developmental disabilities: this treatment is controversial at best. In the United States, specific cases of sterilization due to developmental disabilities have been found by state-level Supreme Courts to violate the patient's constitutional and common-law rights. Postpartum: to remove either a severe case of placenta praevia or placenta percreta, as well as a last resort in case of excessive obstetrical haemorrhage. Chronic pelvic pain: should try to obtain pain etiology. In 1995, the short-term mortality was reported at 0.38 cases per 1000 when performed for benign causes. Risks for surgical complications were presence of fibroids, younger age, dysfunctional uterine bleeding and parity.

The mortality rate is several times higher when performed in patients who are pregnant, have cancer or other complications. Long-term effect on all case mortality is small. Women under the age of 45 years have a increased long-term mortality, believed to be caused by the hormonal side effects of hysterectomy and prophylactic oophorectomy; this effect is not limited to pre-menopausal women. 35% of women after hysterectomy undergo another related surgery within 2 years. Ureteral injury is not uncommon and occurs in 0.2 per 1,000 cases of vaginal hysterectomy and 1.3 per 1,000 cases of abdominal hysterectomy. The injury occurs in the distal ureter close to the infundibulopelvic ligament or as a ureter crosses below the uterine artery from blind clamping and ligature placement to control hemorrhage. Hospital stay is 3 to 5 days or more for the abdominal procedure and between 1 and 2 days for vaginal or laparoscopically assisted vaginal procedures. Removal of one or both ovaries is performed in a substantial number of hysterectomies that were intended to be ovary sparing.

The average onset age of menopause after hysterectomy with ovarian conservation is 3.7 years earlier than average. This has been suggested to be due to the disruption of blood supply to the ovaries after a hysterectomy or due to missing endocrine feedback of the uterus; the function of the remaining ovaries is affected in about 40% of women, some of them require hormone replacement therapy. A similar and only weaker effect has been observed for endometrial ablation, considered as an alternative to hysterectomy. A substantial number of women develop be

Ho No Hana

The Japanese sect Ho No Hana Sanpogyo was a new religious movement founded by "His Holiness" Hogen Fukunaga. The sect was found to have engaged in fortune telling fraud in Japan, it is called the "foot reading cult", because its founder, Hogen Fukunaga, claimed he could make a diagnosis by examining people's feet. He founded the group in 1987 after an alleged spiritual event where he claimed to have realized he was the reincarnation of Jesus Christ and the Buddha; the group at one time claimed 30,000 members. However, Fukunaga charged $900 for the foot readings and a suspicion arose that he used the money to benefit himself, he had to pay over a million dollars in damages. Fukunaga started preaching in 1980, claiming to be the world's final savior following Jesus Christ and Buddha, he was 34 and saddled with 500 million yen of debt. Soon he became a household name through the publication of texts penned by ghostwriters. In 1987 the sect gained official recognition as a religious corporation. In a twist on palm reading and other cult leaders read the soles of people's feet.

They told the victims, who visited the cult for counseling about physical or family problems, that their problems would worsen unless they attended a cult seminar, which cost 2.25 million yen, or donated up to 14.3 million yen to the cult. They used shocking words to fuel their concern, falsely claimed their diseases could be cured through training in his cult, swindled exorbitant amounts of money from them, they were urged to purchase high-priced scrolls and other ornaments that were said to ward off evil, cure illnesses, deliver from sin, break family curses. The intimidation was accompanied by a specific threat. A victim was coerced during a number of visits by cult officials to shell out another $22,000 for a five-day training seminar at the cult's sprawling headquarters below Mount Fuji; the purpose, he said, was to "purify" his body. The leader set cult members strict recruitment goals in a bid to swell the group's ranks. Separate goals were set for each of the group's branch offices; when the cult's new facility was being built, at a cost of 600 million yen, Fukunaga ordered cult members to work toward an harder goal.

Staff members eagerly studied Fukunaga's methods of threatening people to make them enroll in special training sessions, the sources said. At these meetings, Fukunaga said that lying was acceptable to lure people to enroll in the special training. "You should use your'wisdom' and say things if they may not be true." He explained that lies were acceptable as people would learn reason once they began the special training. The group prepared a manual to train people. Fukunaga would wear custom-made Italian shoes, his wife, according to senior cult members spent $6,000 to $7,000 a month shopping. Fukunaga obtained 60 billion yen from more than 10,000 people over the past 13 years, while he spent enormous amounts enhancing his reputation as a religious leader by "buying" audiences with former Soviet President Mikhail Gorbachev and Pope John Paul II, President Clinton, Mother Teresa, Margaret Thatcher, Sathya Sai Baba and celebrities. According to a report by Christian newsweekly World: "The Clinton White House fundraising scandal", In May 1996, a fundraising dinner organized by Mr. Huang was held at the Sheraton Carlton Hotel in Washington, D.

C. Yogesh Gandhi, a distant relative of Mahatma Gandhi, paid for his ticket and that of a friend, Dr. Hogen Fukunaga, with a $325,000 contribution. Mr. Fukunaga, leader of a Japanese religious sect known as Ho no Hana Sanpogyo, is a multimillionaire, while Mr. Gandhi, a naturalized American, is a man of little means, indeed a "pauper", according to papers filed in his recent divorce case. After The Los Angeles Times reported in October the details of Mr. Gandhi's lowly economic status, the DNC concluded that the $325,000 he had donated never belonged to him and returned "his" money; the founder was sentenced to 12 years in prison for bilking his flock out of 150 million yen in the name of religious training. 15 senior cult members were charged with the mass fraud. Nine of the 15 were given verdicts, with all of them convicted. Prosecutors charged them with practicing medicine without a license. Fukunaga might yet face manslaughter charges in the deaths of four recruits who died during rigorous initiation rites at Mount Fuji.

Legal experts say. "Japanese court throws book at foot cult", Salon "Edited articles on the "Foot Cult" of Japan", Fullerton

Roy Forge Smith

Roy Forge Smith was a British production designer known for his work in films, such as Monty Python and the Holy Grail, television, including 44 episodes of the Ghost Whisperer from 2005 to 2007. Smith received two ADG Excellence in Production Design Award nominations for his work on the television movies The Hunley in 1998 and the 2002 CBS biopic and Lewis, he collaborated with writer and director, John Gray. Smith was a native of London, he began his career, which spanned more than 40 years in film and television, at the BBC. Smith a set designer for the production of Monty Python and the Holy Grail, his numerous British and American film credits as a production designer included work on Far from the Madding Crowd, Mrs. Soffel, Bill & Ted's Excellent Adventure, Robin Hood: Men in Tights, Dracula: Dead and Loving It, the Teenage Mutant Ninja Turtles film trilogy during the early 1990s. During the 1990s Smith continued to work on feature films such as Richard's Treehouse, Honey I Shrunk the Kids and Katie turning to television in around 2000 designing sets in Ireland for a Hallmark film, in Lithuania for Attila the Hun and in Luxembourg.

He teamed with John Gray, the writer and director, to design the sets for his television films and series. Smith designed the sets for seven of Gray's television movies, including The Hunley for which his ingenuity about the construction and the re-creation of the Hunley impressed historians. In 2005, Gray created the CBS series, Ghost Whisperer, supernatural drama series starring Jennifer Love Hewitt. Smith served as the production designer for 44 episodes from 2005 to 2007 during the show's first two seasons. Roy Forge Smith died on 6 February 2017, at the age of 87, his death was announced by Gray, who issued a tribute, saying, "Roy was the master of doing things simply... It's the biggest and most important thing. Roy Forge Smith on IMDb

Robert Romney Kane

Sir Robert Romney Kane, Bt was an Irish barrister and legal writer. He wrote on Irish history. Born at Gracefield, Dublin, on 28 October 1842, he was eldest son of Sir Robert Kane. After attending Dr. Quinn's private school in Harcourt Street, Kane passed to Queen's College, where he graduated M. A. in 1862 Becoming a member of Lincoln's Inn, Kane studied law in London in the chambers of an eminent conveyancing lawyer, W. H. G. Bagshawe, in 1865 he graduated LL. B. with honours in London University. Called to the Irish bar the same year, he built up a good practice. In 1873 he was appointed professor of equity and international law at the King's Inns, he retained that post till 1892, when he was made county court judge for the united counties of Kildare, Carlow and Wicklow. After some years of poor health, Kane died at his residence, 4 Fitzwilliam Place, Dublin, on 26 March 1902, he was a member of the Royal Irish Academy, a fellow of the Royal Society of Antiquaries of Ireland, for many years one of the two honorary secretaries of the Royal Dublin Society, a trustee of the National Library of Ireland.

Kane collaborated with Francis Nolan Q. C. in a treatise on the Statute Law of Landlord and Tenant in Ireland. He edited Lectures on Irish History, by his friend Alexander George Richey, published in 1887 as A Short History of the Irish People. Kane married on 29 December 1875 Ellinor Louisa, second daughter of David Coffey, taxing master in chancery, by whom he had two sons and three daughters; the elder son, lieutenant in the 1st battalion of the South Lancashire regiment, fell in the Second Boer war while fighting on the summit of Mount Itala on 26 September 1901. His second son was killed in action in the final weeks of the First World War commanding the 1st Royal Munster Fusiliers. Http://,%20ROBERT%20ROMNEY%20GODRED This article incorporates text from a publication now in the public domain: Lee, Sidney, ed.. "Kane, Robert Romney". Dictionary of National Biography. 2. London: Smith, Elder & Co

Municipality of Naklo

The Municipality of Naklo is one of the municipalities in northwestern Slovenia. Its seat is Naklo; the municipality, established in 1994, has 5,020 residents. It has an area of 28.3 square kilometres. The Municipality of Naklo in the Ljubljana Basin lies in the Kranj Plain and in the middle of the Naklo Valley between the two oldest terraces of the Sava and Tržič Bistrica rivers, it is surrounded by Udin Woods. To the south and east it borders the City Municipality of Kranj, to the north the Municipality of Tržič, to the west the Municipality of Radovljica. Although the Naklo Valley is regarded as narrow, the Municipality of Naklo has good road connections; the freeway from Ljubljana to Jesenice passes the edge of the Udin Woods, on the west side of the woods there is a road to Jesenice and Tržič. Both lead to border crossings with Austria, its administrative seat is the town of Naklo. Other settlements in the municipality are Bistrica, Gobovce, Malo Naklo, Podbrezje, Spodnje Duplje, Zadraga, Zgornje Duplje, Žeje.

Due to its location, transport links, proximity to major economic centers across the country, the Municipality of Naklo has developed small businesses and intensive farming activities. Some of the population works locally, but many commute to work to Kranj and Tržič; the municipality is seeking to promote the development of agriculture, small business, tourism. Several historical sights in the Municipality of Naklo are tourist attractions. Camping is available along the Tržič Bistrica River. Natural attractions forested Dobrava terrace. Other activities include tennis, horseback riding, cycling and hiking. Naklo municipal homepage

Natalia Cruz

Natalia Cruz is a Colombian journalist and news anchor in the United States, three time Emmy Award winner, news anchor for "Mega News" on Mega TV and "TV Realtor" at Real Estate TV show "Esta Es Tu Casa" on Mega TV network affiliated to Univision Network, the show Primer Impacto. Born to journalist parents, Cruz always had a passion for written works. In her youth she competed in writing contests, she won poetry competitions as well as literature prizes. Cruz attended Universidad del Norte, in Barranquilla, Colombia where she majored in social communications and journalism. While studying, she worked in news radio on "Emisora Atlantico", Cruz began her broadcasting career at 17 as news anchor for the newscast "CV Noticias" on the regional television station Telecaribe. Manuel Teodoro gave Cruz her first exposure on national Colombian TV, as news anchor and reporter on the TV Magazine "Extra" on Caracol Television. In early 2000, Cruz moved to New York and worked for Spanish language Public TV on HITN, where she produced the shows "Corriente Cultural" and "NotiCultura".

That year, she started as the New York City reporter for the daily morning show "Despierta America", on Univision, did live shots for the longest-running variety TV show in the world, "Sabado Gigante". In 2001, Cruz was hired by the New York Telemundo affiliate WNJU as a reporter for Noticiero 47. With only one month on the job, she covered the WTC terrorist attacks, being one of the first reporters on the scene at Ground Zero, her work was noted in the book, "Running Toward Danger: Stories Behind the Breaking News of September 11", she was featured on the 9/11 Tenth year exhibit on the Newseum on Washington D. C. After just 18 months working as a morning reporter, Cruz became news anchor on WNJU, now part of NBC, received the 2004 Emmy Award as Best News Anchor for Tri-State area, she was nominated the following year for five awards, winning another Emmy Award, this time for Best Newscast in 2005. Additionally, Cruz won the ACE Award as Best News Anchor in 2005. 2006 saw. Cruz started as New York correspondent for "En Vivo y Directo", on TeleFutura.

Only two months she was brought to "Primer Impacto" on Univision Network. She won the NY Latin Award for Best National Correspondent in 2008. Cruz has continued as a correspondent. Cruz sits in as news anchor for shows at Univision, such as "Primer Impacto", "Despierta América", "Al Punto" and "Desayuno Alegre", she briefs on "Noticiero Univision". and "Noticias Al Minuto" on TeleFutura. In July 2011, Cruz was promoted to Anchor for Primer Impacto Extra, broadcast on the weekends at 5 pm / 4 pm center. In 2012, Cruz hosted "Es el momento" Special "Primeros pasos hacia el éxito", Highlighting the Importance of Early Childhood Education. S. Secretary of Education Arne Duncan among other experts. In March 2013 she conducted from the studios, Univision's first time live broadcast of Easter Mass from Vatican City celebrated by Pope Francis. In July 2016, she was appointed anchor for the TV show "Lo Mejor de Primer Impacto", Sundays at 5 pm / 4 pm Center on Univision, she continued at Univision after 12 years with the network.

Starting in December 2018 is the news anchor for “Mega News- Edición de la Tarde” at 5:30pm / 2:30pm on Mega TV in addition to host and executive producer of the Hispanic Real Estate TV show "Esta Es Tu Casa" on weekends at Mega TV. The schedule for MegaNews with Natalia Cruz was expanded to an hour, starting at 5 pm / 2 pm since April 29, 2019. TelevisionRadio "Latino Show Awards" for her career trajectory on journalism. Medellin, October 25th, 2017. Award "Premio Estrellas Digitales" as News anchor Influencer of the year 2017. Coral Gables, June 9, 2017. Award "Angel de Impacto 2016" on Pasarela Angels of the Happy Family Foundation. Miami, October 1st 2016. Award "Mujer de Inspiración 2016" by'Perla de Esperanza' Foundation. June 2016. Acknowledgment by "Latino Show Magazine" for her outstanding career and work with the Latino community in the United States, for her 10 years of leadership with the TV show ‘Primer Impacto’. April 2016. Jury at "Premio Águila" 2015, 2016 & 2017, first and only international award for Hispanic media on the Christian industry.

Award "Congo de Oro" by Carnaval de Barranquilla Internacional to Best Report 2015, given at Calle 8 Festival in Miami on March 13th, 2016. "National Godmother" at the Colombian Parade of New York in July 2015. "Premio Colombia 2013" The Maximum award for Colombians abroad, because of their personal values and services to the international community. Miami "Guest of honor" at the Bicentennial of Barranquilla by the Major Office of Barranquilla City. 2013 One of the 13 "Top Real Women in Fashion 2012" One of the 19 "Most fashionable people of 2011" in Miami Featured on the 9/11 Tenth year exhibit on the Newseum on Washington D. C. 2011 New York Latin Award 2008 as best national TV reporter. Emmy Award 2006 from the National Academy of Television Arts and Sciences, for her special investigation “Lead on Kids Jewelry” on the category series of social interest. ACE Award 2005 from the Association of Latin Entertainment Critics as best TV Host. Emmy Award winner for Best Newscast in 2005. 5 Nominations to Emmy Award 2005 including one as second consecutive year as best News Anchor/Host, Best Political Segment, Best Special Coverage, two for best Newscast.