• Clinical and Experimental Reproductive Medicine
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• v.42 no.3
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• pp.126-129
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• 2015

Essure (Bayer) received approval from the U.S. Food and Drugs Administration as a permanent non-hormonal contraceptive implant in November 2002. While the use of Essure in the management of hydrosalpinx prior to in vitro fertilization (IVF) remains off-label, it has been used specifically for this purpose since at least 2007. Although most published reports on Essure placement before IVF have been reassuring, clinical experience remains limited, and no randomized studies have demonstrated the safety or efficacy of Essure in this context. In fact, no published guidelines deal with patient selection or counseling regarding the Essure procedure specifically in the context of IVF. Although Essure is an irreversible birth control option, some patients request the surgical removal of the implants for various reasons. While these patients could eventually undergo hysterectomy, at present no standardized technique exists for simple Essure removal with conservation of the uterus. This article emphasizes new aspects of the Essure procedure, as we describe the first known association between the placement of Essure implants and the subsequent development of fluid within the uterine cavity, which resolved after the surgical removal of both devices.

• Proceedings of the Korean Nuclear Society Conference
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• 1999.10a
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• pp.247-247
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• 1999

This paper describes a new mechanistic thermal conductivity model considering the heterogeneous microstructure of MOX fuel. Even though the thermal conductivities of MOX have been investigated numerously by experimental measurements and theoretical analyses, they show the large scattering making the performance analysis of MOX fuel difficult. Therefore, a thermal conductivity model that depends on the heterogeneous microstructure of MOX fuel has been developed by using a general two-phase thermal conductivity model. In order to apply this model for developing the thermal conductivity for heterogeneous MOX fuel, the fuel is assumed to consist of Purich particles and U02 matrix including Pu02 in solid solution. Since little relevant data on Purich particles is available, FIGARO and SiemensKWU results are only used to characterize the microstructure of unirradiated and irradiated fuel. Philliponneaus and HALDEN models are selected for the local thermal conductivities for Purich particles and matrix, respectively. Then by combining the two models, overall thermal conductivity of MOX fuel is obtained. The new proposed model estimates the MOX thermal conductivity about 10% less than the value of U02 fuel, which is in the range of MOX thermal conductivity from HALDEN. The developed thermal conductivity model has been incorporated into KAERIs fuel performance code, COSMOS, and then verified using the measured data in the FIGARO program. Comparison of predicted and measured temperatures shows the reasonable agreement within acceptable error bounds together with satisfactory results for the fission gas release and gap pressure.essure.