Morbid obesity appears to be an independent risk factor for adverse perinatal outcome.

Swede score can be used flexibly depending on the setting. The lower threshold (5) with high sensitivity can be used for screening, whereas the higher threshold (8) with high specificity can be used for screen-and-treat selection to decrease the overtreatment rate. Thus, it is a more attractive option for cancer prevention programs in low-resource settings.

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This study was carried out to compare ovulation and pregnancy rates in response to metformin therapy in lean and obese women with polycystic ovary syndrome (PCOS). A total of 34 (17 lean and 17 obese) women with PCOS were treated with 500 mg metformin 3 times daily for 12 weeks. In the lean and obese groups, the mean body mass index was 24 and 36, and the mean fasting insulin concentrations were 12 and 21 mIU/l respectively. There was no difference between the two groups as regarding age, DHEA-S, androstenedione, 17-OH progesterone and LH concentrations. In the lean and obese groups 15/17 women (88%) and 5/17 women (29%) ovulated while 11/17 women (65%) and 3/17 women (18%) conceived respectively. Comparison between the groups was found to be statistically significant. Metformin monotherapy is very effective in improving ovulation and pregnancy rates in lean women with PCOS as compared with obese women.

Magnetite (Fe 3 O 4 ) nanoparticles (NPs) and SiO 2 -coated Fe 3 O 4 nanoparticles have successfully been synthesized using co-precipitation and modified Stöber methods, respectively. The samples were characterized using X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, high-resolution transmission electron microscopy (HRTEM), vibrating sample magnetometer (VSM) techniques, X-ray absorption spectroscopy (XAS), and X-ray magnetic circular dichroism (XMCD). XRD and FTIR data confirmed the structural configuration of a single-phase Fe 3 O 4 and the successful formation of SiO 2 -coated Fe 3 O 4 NPs. XRD also confirmed that we have succeeded to synthesize nano-meter size of Fe 3 O 4 NPs. HRTEM images showed the increasing thickness of SiO 2 -coated Fe 3 O 4 with the addition of the Tetraethyl Orthosilicate (TEOS). Room temperature VSM analysis showed the magnetic behaviour of Fe 3 O 4 and its variations that occurred after SiO 2 coating. The magnetic behaviour is further authenticated by XAS spectra analysis which cleared about the existence of SiO 2 shells that have transformed the crystal as well as the local structures of the magnetite NPs. We have performed XMCD measurements, which is a powerful element-specific technique to find out the origin of magnetization in SiO 2 -coated Fe 3 O 4 NPs, that verified a decrease in magnetization with increasing thickness of the SiO 2 coating. Graphical Abstract Magnetite (Fe 3 O 4 ) nanoparticles (NPs) and SiO 2 -coated Fe 3 O 4 nanoparticles have successfully been synthesized using co-precipitation and modified Stöber methods, respectively. The samples were characterized using X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, high-resolution transmission electron microscopy (HRTEM), vibrating sample magnetometer (VSM) techniques, X-ray absorption spectroscopy (XAS), and X-ray magnetic circular dichroism (XMCD). XRD and FTIR data confirmed the structural configuration of a single-phase Fe 3 O 4 and the successful formation of SiO 2 -coated Fe 3 O 4 NPs. XRD also confirmed that we have succeeded to sy...

In breech presentations at term vaginal delivery can be achieved in 85% of grandmultiparas without significant neonatal morbidity. Elective cesarean section is associated with increased maternal morbidity compared with planned vaginal delivery.

Introduction Despite reports of a high prevalence of chronic kidney disease (CKD) from the coastal Uddanam region of Andhra Pradesh, India, there are no accurate data on the distribution of kidney function abnormalities and CKD risk factors in this region. Methods A total of 2419 participants were recruited through multistage cluster random sampling from 67 villages. Serum creatinine and urine protein creatinine ratio were measured using validated methodologies. All abnormal estimated glomerular filtration rate (eGFR) and urine protein creatinine ratio values were reconfirmed after 3 months. A range of sociodemographic factors were evaluated for their association with CKD using Poisson regression. Results Of 2402 eligible subjects (mean ± SD age, 45.67 ± 13.29 years; 51% female), 506 (21.07%) had CKD (mean ± SD age, 51.79 ± 13.12 years; 41.3% female). A total of 246 (10.24%) had eGFR <60 ml/min/1.73 m 2 , whereas 371 (15.45%) had an elevated urine protein creatinine ratio (>0.15 g/g). The poststratified estimates, adjusted for age and sex distribution of the region for CKD prevalence, are 18.7% (range, 16.4%–21.0%) overall and 21.3% (range, 18.2%–24.4% ) and 16.2% (range, 13.7%–18.8%) in men and women, respectively. Older age, male sex, tobacco use, hypertension, and family history of CKD were independently associated with CKD. Compared with those with higher eGFR, those with eGFR <60 ml/min/1.73m 2 were older, were more likely to be uneducated, manual laborers/farmers, or tobacco users, and were more likely to have hypertension, a family history of CKD, a diagnosis of heart disease, and a lower body mass index. Among those with low eGFR, there was no difference between those with urine protein creatinine ratio <0.15 or >0.15, except a lower frequency of males in the former. Conclusion We confirmed the high prevalence of CKD in the adult population of Uddanam. The cause was not apparent in a majority. Subjects with a low eGFR with or without elevated proteinuria were phenotypically distinct from those with proteinuria and preserved eGFR. Our data suggest the need to apply a population-based approach to screening and prevention and studies to understand the causes of CKD in this region.

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