-0.7 +/- 1.7 U/mL).\n\nConclusion(s): In polycystic ovary syndrome, metformin improves insulin resistance, inflammatory markers, and endothelial function. The OCP worsens insulin resistance and glucose homeostasis, inflammatory markers, and triglycerides and has neutral or positive endothelial effects. The effect of the OCP on cardiovascular risk in polycystic ovary syndrome is unclear. (Fertil Steril(R) 2010;93:184-91. (C)2010 by American Society for Reproductive Medicine.)”
“Domestic animals in urban areas may serve as reservoirs for
parasitic zoonoses. The aim of this study was to monitor the parasitic status of household dogs in an urban area GSI-IX of Pinhais, in the metropolitan region of Curitiba, Parana State, Brazil, after a one-year period. In May 2009, fecal samples, skin scrapings and ticks were collected from 171 dogs. Questionnaires were applied to the owners (sex, age, environment and anthelmintic use). In May 2010, 26.3% (45/171) of the dogs were fecal samples reanalysed. From the fecal samples, 33.3% (57/171) in 2009 and 64.4% (29/45) in 2010 were positive. The parasite species most observed were, respectively in 2009 and 2010, Ancylostoma sp., 66.7 and 44.8%, and Strongyloides stercoralis, 26.3 and 3.4%.
All the skin scrapings were negative, and no ticks or protozoa were found. There was no statistical association (p > 0.05) between positive fecal tests and age, sex or environment. In 2009 alone, dogs with a history of antiparasitic drug administration were 2.3 times more likely to be negative. A great number of find more replacement dogs was noticed one year later. Therefore, isolated antiparasitic.treatment strategies may have no impact on parasite control, given the risk of introduction of new agents, thereby limiting the prevention strategies.”
“Objective : We sought to determine medical students’ learning outcomes following exposure to a 4-hour group medical visit (GMV) curriculum that focused on Spanish-speaking patients who had diabetes. The GMV was part of a 4-week block family medicine clerkship for third-year medical students. Methods: We conducted
a 1-year longitudinal, prospective study using a before and after survey and a Selleckchem LEE011 qualitative analysis of end-of-clerkship reflective essays. Eleven survey questions captured change in knowledge about GMV resources, cultural knowledge, and attitudes toward the GMV model. Results: Ninety students completed the surveys. Fifty students chose to write about the GMV experience in their reflective essays. On the survey, a significant change was found in students’ knowledge about culture-specific diabetic resources, cultural knowledge, and self-reported knowledge and attitude about GMVs. Qualitative analysis of the narratives and essays supported and strengthened this finding of positive attitudes about the importance of cultural competency and physician role modeling in the context of the patient-doctor relationship.