Review of general suggestions on physical activity to prevent and treat gestational and pre-existing diabetes during pregnancy and in postpartum
Publication date: Available online 8 November 2018Source: Nutrition, Metabolism and Cardiovascular DiseasesAuthor(s): N. Di Biase, S. Balducci, C. Lencioni, A. Bertolotto, A. Tumminia, A.R. Dodesini, B. Pintaudi, T. Marcone, E. Vitacolonna, A. NapoliAbstractThe aim of this review is to provide general suggestions about physical activity (PA) in pre-gestational and gestational diabetes (GDM) and encourage women to take part in safe and effective activities throughout pregnancy, in the absence of other contraindications. Physical activity before, during pregnancy and postpartum has many positive effects on the mother as it could reduce the risk of gestational diabetes, excessive weight gain and lower back pain, also prevent, in the postpartum, the diabetes. It may also reduce the duration of labor and complications at childbirth, fatigue, stress, anxiety and depression, leading to an improved sense of wellbeing. Clinically, it is thought to help prevent, preeclampsia and premature birth even though RCTs provide conflicting evidence with respect of prevention of GDM. The main reason for this rests on the fact that the majority of clinical trials have not been able to replicate the preventive effect of PA on the onset of GDM such as the different adherence of the patient to physical activity. Here we survey the literature regarding exercise and PA on GDM prevention and treatment as well as on clinical outcomes in pre-gestational diabetes in pregnancy. We also present a series of ...
CONCLUSIONS: Gaps in memory and various memory types were common after ICU admission, whose prevalence waned over time. Compared with nightmares and fearful memories, gaps in memories were most strongly associated with poor mental health and quality of life. Identifying patients with gaps in memories might be an objective way of planning interventions to improve their long-term outcomes.
CONCLUSIONS: These recommendations are intended to assist researchers in the design, conduct, selection of endpoints, and reporting of clinical trials involving sedative medications and/or sedation protocols for adult ICU patients who require mechanical ventilation. These recommendations should be viewed as a starting point to improve clinical trials and help reduce methodological heterogeneity in future clinical trials.
If it hurts – take notice, and avoid it. Learn from it. If there are other people around, make sure your behaviour is noticeable so they take care of you and don’t do what you just did. If they look after you, you’ll probably do the same thing again when you hurt, if they don’t you probably won’t. This is one description of pain behaviour and how it works. It’s the only part of our pain experience that we can share directly with one another (actions and words). The “doing” part is also the part that is most affected by pain – even distress is signalled to others &nd...
Last week, I became involved in two situations of pain between the eyes that seemed to potentially be presentations of very serious medical conditions. Autumn took a call from her sister late on Friday afternoon. Her sister had been tested for COVID the day before and told Autumn she instantly felt a severe pain betweenRead more …The art and uncertainty of triage originally appeared inKevinMD.com.
Hi, I was wondering if anyone knows of any pain management docs in Scranton, PA or surrounding area (private practice or hospital employed). I'm looking to learn more about local market and network. Thank you.
List of hints and tips on how to enjoy a healthier, happier life based on recent research that applies to people of all ages
Hello, I usually dislike these posts, but I am having a huge amount fo anxiety regarding this and want to talk more about it with people who might have some honest input. I am an American Med student interested in general surgery (but also very open to OBGYN yet general surgery comes first). I have done great in my preclinicals and then life happened: 1) I really did not do well on my step 1 (literally barely passed so keep that in mind). 2) I failed my Family med shelf. Otherwise I am... Read more
I've been getting a variety of lectures about various SCS waveforms from my faculty during fellowship, industry events, and society meetings. I think neuromodulation in general (not just SCS) is a fascinating therapy and has a lot of promise. However, I've become a bit disillusioned by the influence of industry in our understanding of these therapies that WE prescribe and implant into our patients. I've heard a lot about the novel mechanisms of action of the various different waveforms... Read more
Pioneering psychiatrist and psychoanalyst who specialised in studying the effects of stillbirth on women ’s mental healthThe psychiatrist and psychoanalyst Stanford Bourne, who has died aged 92 of congestive cardiac failure, broke the silence in the 1960s surrounding the anguish of stillbirth. His work opened up discussion, addressed medical bias, and guided doctors and midwives towards a more compassionate approach.In the 60s, 18,000 women a year had a stillborn baby, but it was cloaked in secrecy. Well-meaning staff quickly removed babies before parents could see, name or hold them, and they were “disposed of...