Walking for transportation and built environment in Sao Paulo city, Brazil
ConclusionsThe mix of destinations within 500 m and some types of destinations within 1,000 m are important to promote walking trips in adults living in a megalopolis like Sao Paulo. These results can foster discussion of healthy cities in Latin American countries.ResumoObjetivoDescrever o perfil de adultos que caminham como transporte na cidade de São Paulo e verificar as variáveis de ambiente construído que estão associadas com caminhada como forma de transporte.Material e MétodosEste foi um estudo transversal que utilizou dados do Inquérito de Saúde de São Paulo (n = 3145 pessoas com 18 anos ou mais de idade) que avaliou caminhada como forma de transporte em uma semana usual por questionário. Os endereços residenciais foram geocodificados e os tipos e a mistura de destinos foram avaliados em raios de 500 m e de 1.000 m. Realizou-se regressão de Poisson para calcular as razões de prevalência e modelos multiníveis para verificar as relações entre o ambiente construído e a caminhada como forma de transporte.ResultadosPessoas com altos níveis de educação e que não eram obesas tiveram maiores razões de prevalência para caminhar como transporte. As pessoas com posse de carros ou motocicletas pelas famílias e com idade acima de 60 anos tiveram menores razões de prevalência para caminhar como ...
ConclusionsFindings from this study indicate that foetal rs5707 polymorphisms may play a significant role in PE/E development, especially among overweight or obese pregnant women in China.
ConclusionVaginoscopy is a simple and effective technique that can improve visualization and access in complex cases resulting from anatomic distortion.
ConclusionEndometrial cancer, specifically type I endometrioid adenocarcinoma and its precursor lesions are strongly associated with unopposed estrogen states such as polycystic ovarian syndrome (PCOS), obesity as well as nulliparity. Patients seeking assisted reproductive technologies make up a subset of these patients and strongly desire to maintain their fertility. Progesterone therapy for select patients may be a safe and effective temporary treatment for endometrial carcinoma and atypical precursor lesions prior to starting IVF-ET. IVF-ET is very effective in treating such patients.
ConclusionHysteroscopy as a safe and relatively low pain procedure. Local anesthetic in the form of a paracervical block has been used historically to decrease pain during the procedure. Paracervical block does not significantly decrease pain during procedure, even in menopausal women who were found to have higher pain scales on average. Therefore, future studies should further investigate strategies to decrease pain during office hysteroscopy especially for postmenopausal women.
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): D Bastawros, N Hendley, J Zhao, EM Myers, GB Taylor, MJ Kennelly, KJ Stepp, ME TarrStudy ObjectiveTo evaluate the accuracy of bladder scanner measurements in assessing post-void residual (PVR) volumes in obese women [body mass index (BMI)≥30 kg/m2] as compared to non-obese women (BMI
ConclusionOverall hyperplasia incidence is increasing. While BMI is elevated, there was no upward trend observed. Does the insidious decline in age demographic suggest that hyperplasia is occurring in younger women? Our review did not demonstrate a continuous increase in atypia, however there was a higher incidence in the 2013 group, who were also the most obese. Adherence to best practice surveillance in our hospitals was falling short.
ConclusionThis study supports the strong association between high BMI and endometrial cancer. Despite obesity presenting significant surgical challenges, complication rates are low considering the patient demographic. The shortest median length of stay was with vaginal and laparoscopic hysterectomy. Preoperative grading and staging are relatively accurate in our department. Confirmed recurrence rates are low, although a significant proportion of patients are still in follow-up. Clinical follow-up is not useful in detecting recurrence in the majority of patients, which supports a Self Directed Aftercare approach in the majo...
ConclusionIn addition to clinical diagnosis, many demographic and health system factors are associated with use of robot-assistance for hysterectomy. This may indicate decreased access to the robot among underserved patient populations coupled with the capacity of large, urban facilities to make capital investments in robotic equipment.
ConclusionsThe hypoglycemic mechanism of DOP might be associated with the regulation of glucagon-mediated hepatic glycogen metabolism and gluconeogenesis, and of liver glycogen structure, contributing to improved hepatic glucose metabolism in diabetic mice.Graphical abstractDOP could regulate glucagon-mediated signaling pathways and reverse the instability of liver glycogen structure, contributing to improved hepatic glucose metabolism.