[Purpose] The short-term effects of structured exercise on the anthropometric,
cardiovascular, and metabolic parameters of non-overweight women diagnosed with polycystic
ovary syndrome were evaluated. [Subjects and Methods] Thirty women with a diagnosis of
polycystic ovary syndrome were prospectively randomized to either a control group (n=16)
or a training group (n=14) for a period of 8 weeks. Anthropometric, cardiovascular, and
metabolic parameters and hormone levels were measured and compared before and after the
intervention. [Results] Waist and hip measurements (anthropometric parameters); diastolic
blood pressure; respiratory rate (cardiovascular parameters); levels of low-density
lipoprotein cholesterol, total cholesterol, fasting glucose, and fasting insulin; and the
homeostasis model assessment of insulin resistance index (metabolic parameters) were
significantly lower in the training group after 8 weeks of exercise compared to the
baseline values. After exercise, the training group had significantly higher oxygen
consumption and high-density lipoprotein levels and significantly shorter menstrual cycle
intervals. The corresponding values for controls did not significantly differ between the
start and end of the 8-week experiment. [Conclusion] Short-term regular exercise programs
can lead to improvements in anthropometric, cardiovascular, and metabolic parameters of
non-overweight women with polycystic ovary syndrome.
Objectives: The aim of our study is to determine whether first-trimester neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) would be useful as new predictors of subsequent preeclampsia.
Material and methods:Medical records of women with preeclampsia and healthy controls from a tertiary referral center were retrospectively evaluated. The two groups were compared in terms of clinical characteristics and first-trimester levels of hemoglobin, leukocyte, neutrophil, lymphocyte, platelet, NLR and PLR. Receiver operating characteristic curve (ROC) analysis was performed to identify the optimal NLR and PLR levels predicting preeclampsia.Results: Neutrophil (p < 0.001), platelet (p < 0.001), NLR (p < 0.001) and PLR (p < 0.001) levels were significantly elevated, whereas hemoglobin concentration (p = 0.003) was significantly lower in the group with preeclampsia as compared to the control group. On multivariate regression analysis, NLR (OR 1.43; 95% CI 1.21-1.76; p = 0.005) and PLR (OR 1.38; 95% CI 1.15-1.63; p = 0.008) were the most powerful predictive variables. The area under the ROC was 0.716 and 0.705 for NLR and PLR, respectively. The cut-off values of NLR ≥ 3.08 and PLR ≥ 126.8 predicted preeclampsia with the sensitivity of 74.6% and 71.8% and specificity of 70.1% and 72.4%, respectively.
Conclusions:High NLR and PLR during the first trimester are independent predictors of subsequent preeclampsia.
[Purpose] The aim of this study was to evaluate whether the effect of pelvic floor
exercises on pelvic floor muscle strength could be detected via ultrasonography in
patients with urinary incontinence. [Subjects and Methods] Of 282 incontinent patients,
116 participated in the study and were randomly divided into a pelvic floor muscle
training (n=65) group or control group (n=51). The pelvic floor muscle training group was
given pelvic floor exercise training for 12 weeks. Both groups were evaluated at the
beginning of the study and after 12 weeks. Abdominal ultrasonography measurements in
transverse and longitudinal planes, the PERFECT scheme, perineometric evaluation, the stop
test, the stress test, and the pad test were used to assess pelvic floor muscle strength
in all cases. [Results] After training, the PERFECT, perineometry and transabdominal
ultrasonography measurements were found to be significantly improved, and the stop test
and pad test results were significantly decreased in the pelvic floor muscle training
group, whereas no difference was observed in the control group. There was a positive
correlation between the PERFECT force measurement scale and ultrasonography force
measurement scale before and after the intervention in the control and pelvic floor muscle
training groups (r=0.632 and r=0.642, respectively). [Conclusion] Ultrasonography can be
used as a noninvasive method to identify the change in pelvic floor muscle strength with
exercise training.
Postoperative chylous ascites was strongly associated with the number of harvested PALNs. According to our findings, we suggest that conservative treatment should be the first step in managing patients with chylous ascites. Using an abdominal drain after surgery seems to be an effective diagnostic tool and treatment method for chylous ascites.
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