The supplementation of vitamin D alone in postmenopausal women provided significant protective factor against the occurrence of sarcopenia, with significant increases in muscle strength and control of progressive loss of lean mass.
VD deficiency in postmenopausal women was associated with a higher prevalence of MetS. Women with VD deficiency had a higher risk of MetS, hypertriglyceridemia and low HDL than those with adequate levels.
In younger postmenopausal women with VD deficiency, isolated supplementation with 1000 IU of vitamin D3 for 9 months is associated with a reduction in bone turnover markers. However, any between-group differences was not observed in bone turnover markers.
In younger postmenopausal women, isolated supplementation with 1000 IU of VitD3 for 9 months was associated with a reduction in proinflammatory biomarkers.
Purpose
To evaluate agreement between pre- and post-laparoscopy gynecological
diagnosis in order to demonstrate the rationality of this minimally invasive
technique use in gynecological propaedeutics.
Methods
Retrospective chart review study conducted between March 2010 and October
2016 based on a convenience sample. 315 patients undergoing surgical
laparoscopy at the Center of Gynecologic Endoscopy and Family Planning of
Botucatu Medical School/UNESP. Pre- and postoperative diagnoses were
compared by the diagnosis agreement test considering the proportions of
events.
Results
Laparoscopy contributed to diagnosis in 59.6% of infertility cases
(P>0.05), in 93.7% of chronic pelvic pain of undetermined origin
(P<0.01) and conclusively elucidated the diagnosis of acute abdomen and
the ruling out of tubo-ovarian abcess (P<0.05). Laparoscopy also
increased the diagnosis of pelvic-abdominal adhesions in 76.7% (P>0.05).
Conclusion
The use of laparoscopy considerably contributed to diagnostic elucidation,
especially in cases of undetermined chronic pelvic pain.
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