Curso/Posgrado de Medicina de la Reproduccion en Cordoba, Argentina

El curso anual de Medicina de la Reproducción de la Sociedad de Obstetricia y Ginecología de Córdoba, dirigido por el Dr. Gustavo Gallardo, comienza el 17 de abril y será dictado durante el año lectivo exclusivamente los días sábados por la mañana. El curso está destinado a médicos ginecólogos, obstetras, endocrinólogos, urólogos, biólogos, bioquímicos, interesados en actualizar conceptos sobre medicina reproductiva.

Director: Dr Gustavo Gallardo
Carga Horaria: 30 horas
Lugar: Hospital Nacional de Clinicas. Cátedra I de Ginecologia
Informes e Inscripción:
- Maria Teresa Nievas: (0351) 152-739999
- Marcela Zitta: (0351)155-434929
- medicinareproductiva@hotmail.com

Temario:

- Fisiologia de la reproduccion masculina y femenina.
- Epidemiologia, importancia, evolution de las estadisticas, etiologias más frecuentes.
- Factor masculino: clínica y tratamiento. Laboratorio de andrologia.
- Factor ovarico: reserva ovarica, estimulacion de la ovulacion, ovodonacion.
- Factor endocrino: Anovulacion, Hiperandrogenismos, Prolactina, Tiroides Poliquistosis Ovarica.
- Factor tubo peritoneal. Laparascopia, Histeroscopia, Endometriosis, Implantacion.
- Diagnostico por imagenes en reproduccion, Genetica.
- El laboratorio de Reproduccion Asistida.
- Diagnostico preimplantacional.
- Criopreservacion.
- Futuro de la Fertilizacion Asistida.
- Reproduccion Asistida de baja complejidad.
- Reproduccion Asistida de alta complejidad, FIV – ICSI.
- Reproduccion en el paciente oncologica.
- Preservacion de la fertilidad.
- Infecciones y Reproduccion.
- Parejas HIV (+).
- Esterilidad sin causa aparente.
- Aborto recurrente: Fisiopatologia – Esquemas Diagnosticos – Opciones Terapeuticas.

Knee Replacement in Elderly Patients Shown to Improve Balance

Multiple benefits to surgery reported for patients with advanced osteoarthritis

New Orleans, LA – Total knee replacement (TKR) successfully relieves pain and improves function in patients with advanced knee arthritis, according to a study presented today at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). The surgery also significantly improves dynamic balance among elderly patients.

Impaired balance and increased tendency to fall are common complaints among the elderly suffering from severe osteoarthritis (worn cartilage). The purpose of the study was to determine whether TKR had any effects on balance measures, in correlation with functional balance and quality of life. This is especially important because falls are the leading cause of injury for senior adults in the U.S., and hip fractures that result from falls can be lethal for elderly patients.

“Balance is critical to the elderly, especially those with knee problems. This study reinforced our hypothesis about how an osteoarthritic patient’s function is compromised not only due to pain, but also by balance,” said Leonid Kandel, MD, study author and orthopaedic surgeon, Department of Orthopaedic Surgery, Hadassah Mount Scopus Hospital, Jerusalem, Israel.

The study examined 63 patients, with a mean age of 73, who had total knee replacements and participated in follow-up evaluations after one year. The study measured accurately static and dynamic balance with a new computerized system called the Balance Master. The study found:

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More than 17 million cosmetic procedures performed last year in USA

Chicago – A procedural survey conducted by the American Academy of Cosmetic Surgery says more than 17 million cosmetic surgery procedures were performed in the United States in 2009.

The total number of procedures from this first-time study far surpasses any number that has previously been reported in the U.S. This is the first nationwide survey of its kind done by the AACS. In addition to the annual polling of its own members, the AACS also surveyed random physicians across the country to find out who is performing cosmetic surgery procedures.

The total number of procedures performed by AACS members has increased by eight percent since 2008.

“The cosmetic surgery industry continues to grow at a rate many people never thought it would reach,” said AACS President Mark Berman, MD. “With the aging of the baby boomer generation, I don’t think we’ve come close to hitting the ceiling yet. That 17 million is only going to expand.”

Among AACS member practices, the biggest increase in invasive procedures in the last five years are in blepharoplasty (eyelid lift), abdominoplasty (tummy tuck) and rhinoplasty (nose). For less-invasive procedures, the biggest increase over that five-year period is in laser resurfacing, chemical peels and fillers.

For AACS members, rhinoplasty surgeries jumped from 12,460 in 2008 to 21,730 in 2009, a 74 percent increase. Facelifts were also up this year, from 20,478 in ’08 to 34,455 in ’09, a 44 percent spike.

“As the economy recovers slowly but surely, we are seeing patients come back and feel better about doing some things for themselves that maybe they’d been putting off for a while,” Berman said.

Feel free to contact us for more information about cosmetic surgery procedures in Argentina.

Obesity Associated With Depression and Vice Versa

Chicago — Obesity appears to be associated with an increased risk of depression, and depression also appears associated with an increased risk of developing obesity, according to a meta-analysis of previously published studies in the March issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

“Both depression and obesity are widely spread problems with major public health implications,” the authors write as background information in the article. “Because of the high prevalence of both depression and obesity, and the fact that they both carry an increased risk for cardiovascular disease, a potential association between depression and obesity has been presumed and repeatedly been examined.” Understanding the relationship between the two conditions over time could help improve prevention and intervention strategies.

Floriana S. Luppino, M.D., of Leiden University Medical Center and GGZ Rivierduinen, Leiden, the Netherlands, and colleagues analyzed the results of 15 previously published studies involving 58,745 participants that examined the longitudinal (over time) relationship between depression and overweight or obesity.

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Woman gives birth to two healthy babies in separate pregnancies after ovarian transplant

For the first time, a woman has given birth to two children after her fertility was restored using transplants of ovarian tissue that had been removed and frozen during her cancer treatment and then restored once she was cured.

Following her ovarian transplant, Mrs Stinne Holm Bergholdt gave birth to a girl in February 2007 after receiving fertility treatment to help her become pregnant. But then, in 2008, she discovered she had conceived a second child naturally and gave birth to another girl in September 2008.

Her doctor, Professor Claus Yding Andersen, reports her case in Europe’s leading reproductive medicine journal Human Reproduction. “This is the first time in the world that a woman has had two children from separate pregnancies as a result of transplanting frozen/thawed ovarian tissue,” he said. “These results support cryopreservation of ovarian tissue as a valid method of fertility preservation and should encourage the development of this technique as a clinical procedure for girls and young women facing treatment that could damage their ovaries.”
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Evaluation of young adults conceived via IVF shows them to be “happy and well adjusted”

A study published on-line this month in the journal Fertility and Sterility shows that young adults conceived via IVF were generally as happy and well adjusted as their peers.

Researchers at Eastern Virginia Medical School’s Jones Institute of Reproductive Medicine questioned a cohort of young adults conceived in that program’s clinic between 1981 and 1990. The Jones Institute was a pioneering center for reproductive medicine, achieving the first IVF birth in the United States in 1981. Researchers contacted the young adults via their parents and received a 31 percent (n=173) response rate to their 90 item questionnaire.

The results showed that when compared to other young adults, the IVF conceived were found to be “healthy and well adjusted with no prevalence of increased susceptibility to chronic diseases.” However the reported incidence of clinical depression and especially ADD/ADHD were higher among IVF offspring.

“This is a significant study and one of a number of long term outcomes studies that are currently being done.” Said James Goldfarb, President of the Society for Assisted Reproductive Technology (SART). “It is comforting to see that the data bears out what we have believed, that children conceived via IVF are generally as healthy as other children, even as those children become adults. While the findings of increased depression and ADD/ADDH is notable, other studies have not shown these increases. We need to continue to do the research that will allow us to discover if there are any areas of concern for IVF children. ” Dr. Goldfarb added.

For more information about In Vitro Fertilization (IVF) please do not hesitate to contact us.

Obese Teens Who Receive Gastric Banding Achieve Significant Weight Loss

Chicago — A higher percentage of severely obese adolescents who received laparoscopic adjustable gastric banding lost more than 50 percent of excess weight and experienced greater benefits to health and quality of life compared to those in an intensive lifestyle management program, according to a study in the February 10 issue of JAMA.

Adolescent obesity is a serious health challenge globally. In the U.S., more than 17.4 percent, or more than 5 million adolescents were obese in 2004, an increase from 14.8 percent in 2000. Obesity is associated with both immediate and late health effects and reduced life expectancy, according to background information in the article. Lifestyle programs that have included changes in diet, exercise, and behavior to promote weight loss often have poor results. “Bariatric surgery is now extensively used for adults and is being evaluated for adolescents,” the authors write. “Laparoscopic adjustable gastric banding (gastric banding) has the potential to provide a safe and effective treatment.”

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How to lower childhood obesity

Family meals, adequate sleep and limited TV may lower childhood obesity

Columbus, Ohio – A new national study suggests that preschool-aged children are likely to have a lower risk for obesity if they regularly engage in one or more of three specific household routines: eating dinner as a family, getting adequate sleep and limiting their weekday television viewing time.

In a large sample of the U.S. population, the study showed that 4-year-olds living in homes with all three routines had an almost 40 percent lower prevalence of obesity than did children living in homes that practiced none of these routines.

Other studies have linked obesity to the individual behaviors of excessive TV viewing, a lack of sleep and, to a lesser extent, a low frequency of family meals. But this is the first study to assess the combination of all three routines with obesity prevalence in a national sample of preschoolers.

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