Women Who Have Trouble Sleeping May Struggle With Infertility
BOSTON (CBS) – If you’re struggling to get pregnant, your sleep, or lack thereof, may be contributing. In a new study published in the journal Sleep, researchers looked at more than 50,000 women of reproductive age in Taiwan and found that those with sleep disorders other than sleep apnea had a more than three times greater likelihood of experiencing infertility compared to those who didn’t have trouble sleeping. The women with sleep problems were also more likely to have chronic health conditions like high blood pressure and thyroid issues, so it begs the question as to whether disordered sleep is just a symptom of other underlying medical problems that can contribute to infertility? Or could the lack of sleep alone be to blame? Until that is teased out further, getting better sleep can only improve your overall well-being and may in turn, improve your fertility as well.
CONCLUSION: As part of this sonographic assessment of the upper respiratory tract, landmarks could be identified in patients with OSA that correlated with the severity of the disease. PMID: 31119334 [PubMed - as supplied by publisher]
Authors: Harada K, Yasuda M, Hasegawa K, Yamazaki Y, Sasano H, Otsuka F Abstract Adrenocortical carcinoma (ACC) is a rare malignancy arising from adrenocortical parenchymal cells. Myxoid ACC is one of the newly identified, rare, but important histological variants of ACC, characterized by the presence of abundant extracellular Alcian Blue-positive myxoid material. Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant cancer predisposition syndrome, and the incidence of ACC in MEN1 patients has been reported to be between 1.4% and 6%. Here, we report the case of a 68-year-old Japanese woman harboring t...
This study aimed to investigate if hyperinsulinemia and/or insulin resistance was correlated with the occurrence of papillary thyroid cancer (PTC) in a group of Chinese patients. 258 inpatients were included in the study. According to the postoperative pathology results, all subjects were divided into PTC (n = 153) and control groups (with benign thyroid nodules, n = 105). Body mass index (BMI), fasting glucose, fasting insulin, homeostasis model assessment of insulin resistance (HOMA-IR), thyroid-stimulating hormone (TSH), FT4, FT3, thyroid peroxidase antibody (TPOAb), thyroglobulin antibody (TGAb), serum uric acid (UA), ...
In conclusion, prenatal and recent MeHg exposure had no consistent pattern of associations to support the hypothesis that they are adversely associated with heart rate variability in this study population that consumes large amounts of fish.
CONCLUSIONS: Benzodiazepine monotherapy is utilized in nearly 1 in 10 patients treated for depression. Adults aged 45 to 65 years, patients prescribed opioids, patients seen by primary care providers, and those with underlying anxiety, epilepsy, or pulmonary disorders are at highest risk. PMID: 31120203 [PubMed - in process]
ConclusionsHuman IGF-1 gene may be a candidate gene for GDM and T2DM risk, as our study suggests a significant association between the IGF-I rs35767 and rs5742612 polymorphisms and the risk of T2DM and GDM in pregnant women, whereas there was no association for rs2288377.
We examined associations of BMI, age, sex and spirometry with postural SpO2 changes with mixed-effects linear regression.In highlanders, SpO2 was 84% in the supine posture and was 1.0% ± 1.1 (p
I'm in this position now making changes to my 4th yearschedule and would like any suggestions. I currently have my home anesthesia, 1 away, medicine AI, ICU elective, cardiology elective, and emergency med (all required). I already have sleep med (planning to change, heard from 4th years it's not that good), ICU procedures (essentially night shift, 4th years said it's ok), and online anatomy. I'm thinking of adding online radiology but I still need some more stuff. I'm currently looking at... 4th year electives for anesthesia
Conclusions: Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases. PMID: 31118990 [PubMed]
DiscussionPolycystic ovary syndrome (PCOS) affects 6-8% of reproductive-age women making it the most common endocrinopathy in this age group. There is no consensus on the specific diagnostic criteria for PCOS in adolescents as many of the characteristics overlap with normal adolescent physiology. However, patients should have evidence of hyperandrogenism, oligo- or amenorrhea, and potentially polycystic ovaries. PCOS has a genetic component although a specific gene has not been identified. Incidence of PCOS is 20-40% for a woman with a family history. Hyperandrogenism Androgen levels change during puberty therefore actual ...