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Intramural myomas, the most common type of uterine leiomyoma, develop within the uterine wall and expand either inwards or outwards. According to the FIGO  leiomyoma classification system, fibroid types range from 0 to 8. Types 0, 1 and 2 are submucosal myomas, and subserosal myomas refer to type 5 to 7. Both type 3 and type 4 myomas are known as intramural myomas with no involvement of the endometrial cavity (Figure 13.1). The type 3 myomas, which are in the uterine wall but in contact with the endometrium, are more likely to distort the cavity under certain stimulations. Type 4 myomas stay entirely within the myometrium, which does not expand to either the endometrium or the serosa.
The promise of an economy that creates good jobs, promotes social justice, and improves environmental quality is an alluring one. Proponents of a green economy argue that businesses and communities can overcome contradictions and conflicts between economic, social, and environmental goals through pursuit of the triple bottom line. Yet there is little consensus on what the green economy is and how to achieve it. In this chapter, we review the empirical studies on existing green economic arrangements in different parts of the world. We identify four streams of activities: macroeconomic restructuring, spatial replanning, industrial redesign, and local revitalization. Our review suggests that existing empirical studies remain overwhelmingly practical in their orientation, which leaves much room for theoretically motivated environmental sociological analyses. We conclude with a call for an environmental sociology of green economies that has the potential to enrich the academic literature and enable real-world transformations.
Uterine fibroids or leiomyomas are the most common benign gynaecological tumours; up to 25–30% of women may be diagnosed with fibroids during their lifetime . Women with uterine fibroids may be asymptomatic, or they may present with menstrual symptoms such as menorrhagia and dysmenorrhoea, pressure symptoms, infertility, recurrent miscarriage or complications during pregnancy like red degeneration.