[Purpose] This study was carried out to determine the effect of an exercise program on pelvic pain and posture associated with endometriosis. [Subjects and Methods] This study was designed as repeated measures design that compared one group of 20 patients (age range 26–32 years) diagnosed by laparoscope as having mild or moderate endometriosis before, after 4 weeks, and after 8 weeks of exercise program. The exercise program parameters were based on the American College of Obstetricians and Gynecologists guidelines for exercise suitable for sedentary women. To assess the intensity of endometriosis pain, a present pain intensity scale was used. On the other hand, a raster stereography system was used to assess the posture. [Results] After 8 weeks of performing the exercise regimen, there was a statistically significant decrease in the patients’ pain intensity and thoracic kyphosis angle program in compared with pre treatment. [Conclusion] Ultimately it was proven that eight weeks of an exercise program is very effective in decreasing pain and postural abnormalities associated with endometriosis.

Introduction. Gestational diabetes mellitus (GdM) is common in pregnancy. Maternal consequences might include an increased rate of caesarean delivery. This study was conducted to determine the effect of an exercise program on the mode of delivery in gestational diabetic females. Methods. A prospective, randomized, single-blind, pre-post-test, controlled trial was performed. overall, 60 pregnant females with GdM were included, at their 20-24 weeks of gestation, aged 25-35 years, with body mass index not exceeding 40 kg/m 2. The participants were randomly assigned into 2 equal groups: group A, undergoing an exercise program with a moderately restricted diet and insulin therapy, and group B (control group), receiving solely the same diet protocol with insulin therapy. Results. The chi-square test revealed significant differences between the groups in the mode of delivery (p < 0.05), with a significant decrease in caesarean deliveries in group A. Group A showed a statistically significant difference in neonates' Apgar scores at the 1 st and 5 th minute of life (p < 0.05) compared with the participants in group B. Conclusions. it can be concluded that antenatal exercises can be considered effective in decreasing labour complications and shifting the mode of delivery towards normal, complication-free delivery in females with GdM and their offspring.

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Background: Obesity is becoming increasingly common in the general population and is associated with several other conditions such as hypertension, diabetes, dyslipidemia, and cardiovascular disease. Abnormal blood lipids have been firmly established as a modifiable risk factor for the development of cardiovascular disease. However, medical practice in the area of lipid management is highly variable and has not been aggressively pursued for large number of patients that may be at risk. Purpose: This study aimed to find out the effectiveness of electro acupuncture versus low level laser therapy on lipid profile in obesity. Methods: Forty five patients including both male and female with mean age 39.93±3.47 and BMI 37.98±1.24 were enrolled in the study and divided randomly in to three groups. Group A had received LLLT (632.8nm-16J/cm

Introduction. To explore the effect of myofascial release on electrophysiological and clinical measures of pregnant women with carpal tunnel syndrome (CTS). Methods. Randomized controlled trial. overall, 30 pregnant women with CTS, aged 25-35 years, were randomized into 2 equal groups. The control group only wore a neutral wrist splint during sleeping for 4 weeks, while the study group received a myofascial release in addition to wearing a neutral wrist splint during sleeping for 4 weeks. All pregnant women in both groups were evaluated pre-and post-treatment with median nerve distal motor latency and Boston Carpal Tunnel Questionnaire to assess pain, numbness, and tingling sensation severity, as well as hand function. Results. Comparing both groups post-treatment revealed that there was a statistically highly significant decrease in median nerve distal motor latency, pain intensity, numbness, and tingling sensation severity, as well as in weakness and difficulty in grasping severity (p < 0.001) in favour of the study group. Conclusions. Myofascial release is an effective method for improving electrophysiological and clinical measures of pregnant women with CTS.

Objectives Worldwide, diabetic neuropathy (DN) is a major complication of diabetes mellitus. The direct renin inhibitor aliskiren is recognized as a treatment for cardiovascular disease in diabetic patients, but little is known about its potential benefits in cases of diabetic neuropathy. Accordingly, we investigated the effects of aliskiren (ALIS) and gliclazide (GLZ) and their combination therapy on peripheral neuropathy in streptozotocin‐induced diabetic rats. Methods In total, 112 adult Sprague‐Dawley rats were used for this study. Diabetes was induced using streptozotocin (STZ), whereas the control group was treated with an equal volume of citrate buffer. The diabetic rats were divided randomly into six groups according to the proposed treatment regime: diabetic control (DC), gliclazide (GLZ), aliskiren (ALIS), ramipril (RAM), (GLZ + ALIS) and (GLZ + RAM). Behavioural responses to thermal (hot‐plate) and mechanical (tail‐pinch) pain were evaluated. After eight weeks of daily treatments, the animals were fasted and sacrificed. The blood samples were collected, with the serum separated and subjected to various biochemical and enzyme analyses so as to assess the effect of the treatments on diabetic peripheral neuropathy. Results After 8 weeks, aliskiren alone and in combination with gliclazide therapy had a significant effect (P < .001) in reducing blood glucose levels and showed increased hot‐plate and tail‐flick latencies compared with the diabetic control group. The threshold of mechanical hyperalgesia was also significantly elevated (P < .001). Conclusions/Interpretations These data suggest that either aliskerin alone or in combination with gliclazide can protect against the development and progression of diabetic neuropathy.

Summary To better understand outcomes in postpartum patients who receive peripartum anaesthetic interventions, we aimed to assess quality of recovery metrics following childbirth in a UK‐based multicentre cohort study. This study was performed during a 2‐week period in October 2021 to assess in‐ and outpatient post‐delivery recovery at 1 and 30 days postpartum. The following outcomes were reported: obstetric quality of recovery 10‐item measure (ObsQoR‐10); EuroQoL (EQ‐5D‐5L) survey; global health visual analogue scale; postpartum pain scores at rest and movement; length of hospital stay; readmission rates; and self‐reported complications. In total, 1638 patients were recruited and responses analysed from 1631 (99.6%) and 1282 patients (80%) at one and 30 days postpartum, respectively. Median (IQR [range]) length of stay postpartum was 39.3 (28.5–61.0 [17.7–513.4]), 40.3 (28.5–59.1 [17.8–220.9]), and 35.9 (27.1–54.1 [17.9–188.4]) h following caesarean, instrumental and vaginal deliveries, respectively. Median (IQR [range]) ObsQoR‐10 score was 75 ([62–86] 4–100) on day 1, with the lowest ObsQoR‐10 scores (worst recovery) reported by patients undergoing caesarean delivery. Of the 1282 patients, complications within the first 30 days postpartum were reported by 252 (19.7%) of all patients. Readmission to hospital within 30 days of discharge occurred in 69 patients (5.4%), with 49 (3%) for maternal reasons. These data can be used to inform patients regarding expected recovery trajectories; facilitate optimal discharge planning; and identify populations that may benefit most from targeted interventions to improve postpartum recovery experience.