ABSTRACT
Introducción. El linfedema se produce por una alteración en la circulación linfática. La bomba muscular y articular juegan un papel importante en dicha circulación, constituyendo mecanismos extrínsecos para favorecer el retorno, tanto venoso como linfático. El uso del calzado con suela inestable puede activar y fortalecer la musculatura de los miembros inferiores potenciando ambos mecanismos. El objetivo es evaluar la eficacia del uso del calzado con suela inestable en la calidad de vida en pacientes con linfedema de miembro inferior. Material y métodos. Se diseñó un ensayo clínico, controlado y aleatorizado, a doble ciego. Al tratamiento habitual del linfedema se añadió el uso de los zapatos con suela inestable (MBT®) al grupo experimental, para realizar las actividades diarias. Al grupo control se añadió el uso de zapatillas deportivas normales. Se reclutaron 21 sujetos. Se utilizó la encuesta EQ-5D de calidad de vida. Para el análisis comparativo se utilizó la t de Student. Resultados. Diecisiete sujetos completaron el estudio, de los cuales 10 usaron MBT® y 7 calzado deportivo convencional. Después de la intervención, ambos grupos mostraron un aumento de la puntuación media del cuestionario. Sin embargo, en el grupo que utilizó el calzado con suela inestable, el incremento fue de 18 puntos (p=0,003), frente a 11,4 (p=0,18) del grupo control. Conclusiones. Se puede considerar que el uso del calzado con suela inestable puede contribuir a mejorar la calidad de vida del paciente con linfedema del miembro inferior (AU)
Introduction. Lymphoedema is due to a lymph circulation disorder. Muscle and joint pumps are important extrinsic mechanisms of both lymphatic and venous return. The use of unstable shoes can activate and strengthen the muscles in the lower limbs, thus activating both mechanisms. The aim of this study was to evaluate the effectiveness of unstable shoes in improving quality of life in patients with lower limb lymphoedema. Material and methods. A double blind, randomised controlled trial was designed. In addition to their usual lymphoedema treatment, persons in the experimental group wore unstable shoes (MBT®) during their activities of daily living. The control group was given regular trainers. A total of 21 participants were recruited. Quality of life was measured using the EQ-5D questionnaire. Student's t- test was used for comparisons between groups. Results. Seventeen participants completed the study, of whom 10 used unstable shoes and 7 used another type of trainers. After the intervention, both groups showed an increase in mean quality of life scores. However, the mean score increased by 18 points in the group wearing MBT shoes (p=.003) and by 11.4 points in the control group (p=.18). Conclusions. The results of this study show that this kind of footwear may help to enhance quality of life in people with lower limb lymphoedema (AU)
Subject(s)
Humans , Male , Female , Lymphedema/rehabilitation , Lower Extremity/physiopathology , Shoes/standards , Quality of Life , Neuromuscular Diseases/rehabilitation , Interviews as Topic , Physical Therapy Modalities/organization & administration , Physical Therapy Modalities/standards , Physical Therapy Modalities , Surveys and QuestionnairesSubject(s)
Pregnancy Complications , Asthma/complications , Female , Heart Valve Diseases/complications , Humans , Nervous System Diseases/complications , Pregnancy , Pregnancy Complications, Cardiovascular , Pregnancy Complications, Infectious , Pregnancy in Diabetics , Tuberculosis, Pulmonary/complicationsSubject(s)
Pelvic Inflammatory Disease/diagnosis , Tuberculosis, Female Genital/diagnosis , Acute Disease , Antitubercular Agents/therapeutic use , Baths , Female , Humans , Mud Therapy , Pelvic Inflammatory Disease/drug therapy , Pelvic Inflammatory Disease/therapy , Phenylbutazone/therapeutic use , Salpingitis/diagnosis , Tuberculosis, Female Genital/drug therapySubject(s)
Vaginitis/diagnosis , Vaginitis/therapy , Adult , Aged , Child , Diagnosis, Differential , Female , Humans , PregnancySubject(s)
Vulvitis/diagnosis , Diagnosis, Differential , Female , Humans , Vulvitis/etiology , Vulvitis/therapySubject(s)
Labor, Obstetric , Pregnancy , Transients and Migrants , Adult , Cesarean Section , Extraction, Obstetrical , Female , Fetal Death/epidemiology , Germany/ethnology , Germany, West , Humans , Maternal Health Services , Medical History Taking , Obstetric Labor, Premature/epidemiology , Postnatal Care , Pregnancy Complications/epidemiology , Prenatal Care , Turkey/ethnologyABSTRACT
The results of two studies about the course of pregnancy and delivery in adipose women in our hospital are combined and discussed. We found a higher rate of EPH-gestosis in overweight patients. The frequency of Cesarean section was increased. Belated uterine involution post partum is more frequent in adipose women, also the occurrence of urinary tract infections. There is a significant increase in perinatal mortality, mainly due to an increase in still-born. Pneumonia due to aspiration and birth traumata occur more frequently as well and endanger the children.
Subject(s)
Obesity/complications , Pregnancy Complications , Female , Fetal Death/etiology , Humans , Hyperemesis Gravidarum/etiology , Infant Mortality , Infant, Newborn , Pre-Eclampsia/etiology , Pregnancy , Puerperal Disorders/etiology , Varicose Veins/etiologyABSTRACT
In a retrospective study characteristics of 729 climacteric and postmenopausal women with hyperplasia and adenocarcinoma of the endometrium are compared with those of 82 women with atrophic endometrium and 96 women with carcinoma of the cervix. In a prospective study 225 women with glandular-cystic, adenomatous and atypical hyperplasia of the endometrium have been checked by a control-curettage within a period of two months until four years following the first diagnosis. Low parity, disturbances of menstruation with anovulatoric bleedings during fertility period, adipositas, hypertension and diabetes mellitus in climacteric and postmenopausal women indicate a high risk of carcinoma of the endometrium. Hyperplasias of the endometrium in climacteric women cannot be considered as precursors of corpus carcinoma. They are the result of a temporary hormonal dysfunction. Prophylactic hysterectomy, however, should be performed, if adenomatous or atypical hyperplasia appears in older postmenopausal women with the indicators of high risk of endometriumcarcinoma as mentioned above.
Subject(s)
Adenocarcinoma/etiology , Uterine Neoplasms/etiology , Uterus/pathology , Adenocarcinoma/epidemiology , Adolescent , Age Factors , Aged , Diabetes Complications , Female , Germany, West , Humans , Hyperplasia/etiology , Hypertension/complications , Menopause , Middle Aged , Obesity/complications , Parity , Prospective Studies , Retrospective Studies , Socioeconomic Factors , Uterine Cervical Neoplasms/epidemiology , Uterine Cervical Neoplasms/etiology , Uterine Neoplasms/epidemiologyABSTRACT
On curettage, done in a 39 year old patient because of metorrhagia, a peanut-sized nodule was scraped away from the endometrium. Histologically it consisted of a jumble of irregularly shaped portions of normal appearing embryonal cartilage, of tortuous thick-walled vessels, of twisted bundles of nerves of ducts of respiratory and intestinal epithelium, and of sheets of hornifying skin. The haphazard disarray of tissues supported the notion that the lesion was not a remnant of a malformed embryo. Step-sections through the lesion revealed no traces of placental villi or decidua in the surrounding endometrium. The following were considered as possible origins of the teratoma: 1. displaced germinal cells, 2. retention of pluripotent müllerian epithelium, 3. overaged or blighted ovum. The latter seems most compatible with the histological findings.
Subject(s)
Endometrium , Teratoma/pathology , Uterine Neoplasms/pathology , Adult , Female , Humans , Teratoma/etiology , Uterine Neoplasms/etiologySubject(s)
Obesity/complications , Obstetric Labor Complications , Adolescent , Adult , Female , Humans , Infant, Newborn , Pregnancy , Pregnancy Complications , Puerperal Disorders/etiologyABSTRACT
Between 1969 and 1971 4,749 antenatal patients were observed. Compared to the tables for ideal weights of the Metropolitan Life Insurance Company Statistical Bureau, 26.76 percent of the patients were above ideal weight and 11.35 percent of the patients were obese. It was found that complications and illnesses during the pregnancy increased progressively with weight groups above the ideal weight. Hypertension was five times as frequent in obese women than normal, edema and proteinuria were common. Pre-eclampsia was more common in the obese. Varicosities occurred much more often in the maternity cases above normal weight and with obesity.
