Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
The advice that many overweight and obese women are receiving on gestational weight gain (GWG) from their providers is insufficient and often inappropriate, concludes a small study conducted at Penn State College of Medicine. More »
Preoperative measurement of intra-abdominal visceral fat, and the ratio of intra-abdominal visceral fat to subcutaneous fat, may help predict women at greater risk for difficulties during robotic surgery. More »
In obese patients, laparoscopic ports should be placed more than 10 centimeters from the midline to minimize the chance of injury to epigastric vessels, according to research presented at the 41st Global Congress of the American Association of Gynecologic Laparoscopists. More »
Dr. David von Rueden discusses factors that make it difficult for obese patients to lose weight with diet and medication; offers practical guidance about when to broach the subject of weight loss with your patient and what options to suggest; and what your role is after a patient has had bariatric surgery. More »
Dr. David von Rueden discusses factors that make it difficult for obese patients to lose weight with diet and medication; offers practical guidance about when to broach the subject of weight loss with your patient and what options to suggest; and what your role is after a patient has had bariatric surgery.
Bariatric surgery nearly cures type 2 diabetes—at least that’s what results of a new study seem to imply. The study, presented at the recent ACC meeting and published in NEJM, found that 42% of patients randomly assigned to the stomach-reducing surgery quickly reached HbA1C targets and remained controlled at 1-year follow-up.
In addition to its own potential role as an independent coronary heart disease (CHD) risk factor, substantial evidence indicates that overweightness and obesity adversely impact many other CHD risk factors, including dyslipidaemia, hypertension/left ventricular hypertrophy, glucose intolerance, including metabolic syndrome and type 2 diabetes mellitus and physical inactivity.1 Clearly, the prevalence of almost every cardiovascular disease (CVD),
Recently, some US cohorts have shown a moderate association between red and processed meat consumption and mortality supporting the results of previous studies among vegetarians. The aim of this study was to examine the association of red meat, processed meat, and poultry consumption with the risk of early death in the European Prospective Investigation into Cancer and Nutrition (EPIC).|Recently, some US cohorts have shown a moderate association between red and processed meat consumption and mortality supp
Epidemiological studies have observed associations between diabetes and a number of different cancers. Yet the association with cancer overall and the interrelationship of diabetes and obesity with cancer have been unclear.
Objective, Design, Setting, and Participants:
We evaluated the association between self-reported diabetes and cancer incidence in the NIH-AARP (National Institutes of Health-American Association of Retired Persons) Diet and Health
Childhood obesity is a growing epidemic in family medicine with few clinical treatment options. We implemented and evaluated a group office-visit intervention by family physicians for overweight children and their parents, emphasizing nutrition and physical activity within a resiliency psychosocial model.
The intervention lasted for 3 months, with half of the children crossing over to intervention after 6 months in the study. Participants
Adipose tissue plays a role in obesity-related cancers via increased production of inflammatory factors, steroid hormones, and altered adipokines. The impact of weight loss on adipose tissue gene expression may provide insights into pathways linking obesity with cancer risk. We conducted an ancillary study within a randomized trial of diet, exercise, or combined diet + exercise versus control among overweight/obese postmenopausal women. In 45 women, subcutaneous adipose tissue biopsies were conducted
Obesity is associated with increased risk of a number of cancers in humans, but the mechanism(s) responsible for these associations have not been established. It is estimated that 68% of adults are overweight or obese and that obesity may be causative in 4% to 7% of cancers in the United States. Several hypotheses have been put forward to explain the association between obesity and cancer including adipose-directed signaling (e.g., mTOR, AMPK), production of factors (e.g., insulin growth factor 1, fib
ABSTRACT: The principal dietary strategy to reduce low-density lipoprotein cholesterol (LDL-C) levels is to decrease the amount of saturated fat and cholesterol in the diet. Consumption of soluble fibers, plant sterol and stanol esters, nuts, and soy protein further reduces LDL-C levels. Soluble fibers, such as psyllium, lower LDL-C levels by increasing bile acid loss, interrupting enterohepatic circulation of cholesterol, and reducing hepatic cholesterol delivery. Plant stanol and sterol esters, which ar
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.