Active and secondhand smoking both linked to early menopause
ConclusionWe hardly need more evidence to show smoking is bad for our health, but the suggestion that it may slightly increase the risk of an early menopause and chances of having problems getting pregnant could be important to some women. More surprising is that high levels of secondhand smoke exposure may also have a similar effect.This is a big study with a lot of detailed information about smoking and fertility. But it has some important limitations. It uses quite old data taken from a study of women who were in middle age in the 1990s. Smoking habits have changed a lot in the last 20 years, not only for active smoking but for passive smoking, too. For example, these women would have been children in the 40s and 50s, when people smoking in the home was far more commonplace than it is now. This means a similar study now might have different results. The results also rely on women aged 50 to 79 accurately remembering events that happened in their childhood and early adulthood. Also, because the study was cross-sectional, we don't know how the women's behaviour changed over time. For example, a woman might have started smoking after she'd finished trying for children, which means it could not have affected her chances of infertility. Observational studies can't prove one factor causes another, so we don't know that smoking or smoke exposure were the direct cause of earlier menopause or fertility problems. Although the researchers did attempt to take account of various socioe...
Abstract The goal of this editorial is to equip readers with opioid education resources that enable you to role model what it looks like to speak out about addiction. How are we doing as a profession speaking up about addiction? Stigma is commanded by a deep irony: where peer pressure is what likely keeps us quiet, peer support is what enables us to speak up. The "#MeToo" movement is an extraordinary example of the inertia needed to break open a taboo topic. From Hollywood celebrities to US women's gymnastics stars, it was clear that as more women spoke up about sexual harassment, well, the more women sp...
CONCLUSION: Our systematic review identified factors that might help improve the fidelity and acceptability of PYD interventions. Addressing these might enable PYD to fulfill its potential as a means of promoting health. PMID: 29667497 [PubMed - in process]
A doctor who suggested that a popular, alcohol-based tonic was dangerous was held for nearly 100 days. He emerged as a public hero.
Conclusion: Our case report underlines the importance of active endoscopic surveillance of the remaining colon and rectum in patients with diverting stomas and inflammatory bowel disease in order to detect stenosis. If endoscopic control is not possible due to obliteration, surgical therapy must be discussed due to the risk of developing cancer.Case Rep Gastroenterol 2018;12:143 –146
Type 2 diabetes is a pandemic disease with an incidence that has risen steadily over recent decades. Experimental evidence in animals has demonstrated that intestinal bypass surgery of the upper small intestine, particularly the duodenum, has an important role in glucose homoeostasis. Furthermore, Roux-en-Y bypass performed as bariatric surgery has shown to correct hyperglycaemia from the first postoperative days in obese diabetic patients. Therefore, on the basis of these considerations, duodenal mucosal resurfacing was studied in type 2 diabetes patients as a minimally invasive procedure that could offer an alternative t...
[Malawi News Agency] Kasungu 18 April 2018: Minister of Health and Population, Atupele Muluzi says Government is committed to ensuring that maternal and infant mortality come to an end by the year 2030.
Conclusions: This study is the first nationwide study presenting an increase in incidence of EP-NEC patients from 196 to 260 cases annually in the Netherlands. We found the best 5 year relative survival to be for EP-NEC patients with local disease located in the bladder, where the worst 5 year relative survival was found in the oesophagus.
Karine A. Al Feghali, Rami A. Ballout, Assem M. Khamis, Elie A. Akl, Fady B. Geara
Mayra A. Carrillo, Anjie Zhen, Scott G. Kitchen
PROSTATE cancer symptoms can be hard to spot, especially in the early stages. As it progresses, signs of the disease can begin to show, and if the cancer grows outside of the prostate, and other symptoms can develop, including three related to sex.
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