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.
Whether muscle strength in youth is related to cardiovascular risk later in life independent of cardiorespiratory fitness is unclear.
We examined the independent association of isometric muscle strength in youth with cardiovascular risk factors in young adulthood using data from the Danish European Youth Heart Study; a population-based prospective cohort study among boys and girls (n=332) followed for up to 12 years. In youth maximal volunta
Glucagon and glucagon-like peptide (GLP)-1 are the primary products of proglucagon processing from the pancreas and gut, respectively. Giving dual agonists with glucagon and GLP-1 activity to diabetic, obese mice causes enhanced weight loss and improves glucose tolerance by reduction of food intake and by increase in energy expenditure (EE). We aimed to observe the effect of a combination of glucagon and GLP-1 on resting EE and glycemia in healthy human volunteers. In a randomized, double-blinded cros
0. Search. A Piece of My Mind| March 20, 2013. 278.00 Obesity, Not Otherwise Specified. ... As a 50-something primary care physician, mother, wife, and woman of Eastern European descent who loves to cook and eat, I share on many levels the growing
As a 50-something primary care physician, mother,wife, and woman of Eastern European descent who loves to cook and eat, I share on many levels the growing concern about overweight in this country and beyond. While many refer to this immense public health problem as the obesity epidemic, I object to that wordobesityespecially when used to describe individual patients. Calling patients obese defeats many of our aspirations as practitioners and may even
The use of biological-based markers of exposure, intermediate effect, outcome, and susceptibility has become standard practice in cancer epidemiology, which has contributed to identification of several carcinogenic agents. Nevertheless, with the exception of biological agents, this contribution, in terms of providing sufficiently strong evidence as required by the International Agency for Research on Cancer (IARC) monographs, has been modest.
AbstractObjectives To evaluate the effect of training primary care health professionals in behaviour change counselling on the proportion of patients self reporting change in four risk behaviours (smoking, alcohol use, exercise, and healthy eating).Design Cluster randomised trial with general practices as the unit of randomisation.Setting General practices in Wales.Participants 53 general practitioners and practice nurses from 27 general practices (one each at all but one practice) recruited 1827 patients
Abstract: Introduction: Twenty-three percent of preschoolers are overweight/obese, which puts these children at risk for the development of chronic health comorbidities. The purpose of this randomized control pilot study was to determine the feasibility and preliminary effects of a theoretically based, primary care intervention on the physical outcomes of 60 overweight/obese preschool/early school-aged 4- to 8-year-old children.Methods: After recruitment and baseline assessment, parent-child dyads were ra
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.