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https://www.selleckchem.com/products/Trichostatin-A.html Postmenopausal bleeding has been reported in about 4-11% of menopausal women. The most common cause of postmenopausal bleeding is atrophy of the vaginal mucosa or endometrium. Endometrial hyperplasia, endometrial polyps, submucous leiomyomas and endometrial cancers are also known causes of postmenopausal bleeding. Here, we present a patient whose cause of postmenopausal vaginal bleeding was infiltration of the endometrium with chronic lymphocytic leukemia (CLL). A 78-year-old woman, who has been followed up with a diagnosis of CLL for 5 years, presented with a complaint of postmenopausal bleeding. After dilation and curettage, pathology revealed that the cause of the postmenopausal bleeding was CLL infiltration into the endometrium. Any involvement of the female genital organs in CLL is rare. Therefore, hematological malignancies should be considered in the differential diagnosis of postmenopausal bleeding. Any involvement of the female genital organs in CLL is rare. Therefore, hematological malignancies should be considered in the differential diagnosis of postmenopausal bleeding.This paper shares a report of how one New Zealand District Health Board (DHB) employed interprofessional health project teams to deliver system-wide health improvements and solve its immediate demand for additional hospital beds. CM Health provides health and disability services to approximately 512,000 people in its district. With increasing patient demand and no opportunity to increase capacity, CM Health needed a fast solution for its bed shortage. The Health Board set a goal to reduce the pressure on Middlemore Hospital by giving back to the community 20,000 well and healthy days over two years. The interprofessional health project teams identified best practices through 11 key workstreams. Over the two year period, an estimated 23,060 bed days (the difference between actual bed day usage and the predicted growth) were saved. Thi
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