The Effect of Breast-feeding in Contraception which is a Method of Natural Family Planning

Background: Bongaarts's model of Ci calculation was used to calculate the contribution of breast-feeding to family planning.Methods: This cross-sectional  study was conducted in the area of  İstanbul (TURKEY) Silivri Public Health Practice and Research Center between the dates of 20th May-1st October 2005. In this study  whole under 1 year old babies, composed the sample (n=1247). Bongaarts model can be summarized as Total Fertility Rate (TFR)= TF x Ci x CA x CC x Cm and takes its bases from TF ( total fertility). Ci is the Postparum infekunditi index.  Ci= 20"(18.5+i) is calculated by this formula. The first menstruation period, after pregnancy ends, was taken as the value ‘i'.Results: The average age for the total 1247 mothers who contributed to this study was 26.7±5.2 (R: 16 - 50) yr. The women whose menstruation turned back (n=830), the average amenore period was found as 3.0±1.9 (1-12 months). Ci's average value was 0.94±0.07 (0,66-1.03) and a r= -0.08, P= 0.012 correlation was appointed between mother's age and Ci. 7.7% of partici­pants (n: 96) used breast-feeding as a contraceptive method. These participants used breast-feeding as contracep­tion for 16.9±14.5 wk.Conclusions: Breast-feeding is a reliable and a positive affecting   method of family planning for both improving the baby and mother's health. Furthermore   also by affecting TFR over Ci, it provides a positive contribution to society health

?-3 fatty acid treatment in cardiac syndrome X: A double-blind, randomized, placebo-controlled clinical study

OBJECTIVE: We conducted a clinical trial to examine the effect of ?-3 fatty acids in patients with cardiac syndrome X (CSX). We aimed to evaluate the potential impact of ?-3 fatty acids on endothelial function, oxidative stress, and symptom relief in the CSX. METHODS AND RESULTS: Eighteen patients with CSX were enrolled according to a double-blind, randomized, placebo-controlled design. Patients were randomized to ?-3 fatty acids (1440 mg/day, n=8) or placebo (n=10) for 4 months. We assessed plasma levels of malondialdehyde (MDA), endothelium-dependent vasodilatation [flow-mediated dilatation (FMD)], endothelium-independent vasodilatation [nitroglycerin- mediated dilatation (NMD)], and status of symptom [score with Seattle Angina Questionnaire (SAQ)] before and after the treatment. After 4 months, patients who were treated with ?-3 fatty acids showed significant increases in the FMD (from 47±48 to 104±23%, P<0.05) and NMD (from 51±53 to 93±35%, P<0.05) values, and significant decreases in the plasma MDA levels (4.4±0.86 to 3.35±0.33 µmol/l, P=0.012). SAQ scores were increased significantly in both groups (from 60±14 to 73±15%, P<0.05 placebo, from 67±10 to 81±9%, P<0.05 treatment group). NMD was correlated negatively with the plasma MDA levels. CONCLUSION: Four months of therapy with a moderate dose of ?-3 fatty acids improved the endothelial function and reduced oxidative stress in patients with CSX. © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

Histopathologic evaluation of prophylactic effects of zofenopril, enalapril and valsartan against doxorubicin cardiotoxicity in rats

World Congress of Cardiology -- MAY 18-21, 2008 -- Buenos Aires, ARGENTINAWOS: 000259224800846…World Heart Federat, Argentine Soc Cardiol, Argentine Federat Cardio

Large Apical Thrombus in a Patient with Persistent Heart Failure and Hypereosinophilia: Löffler Endocarditis

Idiopathic hypereosinophilic syndrome is an uncommon leukoproliferative systemic disorder characterized by the overproduction of eosinophils and poor prognosis. A major source of morbidity and mortality of this syndrome is the associated cardiac involvement represented by endocardial thickening and mural thrombi. We report a 64-year-old woman with persistent symptoms of heart failure despite standard medical therapy. Echocardiography revealed reduced left ventricular filling due to a large apical mass; an abnormal diastolic filling pattern was also noticed. Complete blood count revealed remarkable hypereosinophilia. Cardiac magnetic resonance imaging demonstrated an apical thrombus and intense linear enhancement of the endocardium, which were compatible with Löffler endocarditis. Medical therapy, including corticosteroids and anticoagulation, was initiated promptly. The symptoms improved as the peripheral hypereosinophilia resolved in 15 days. The patient was asymptomatic at the 1-year follow-up visit with complete regression of the apical thrombus and no evidence of restrictive cardiomyopathy. We report this case to draw attention to this particularly rare condition with poor prognosis since quick and accurate diagnosis and prompt initiation of therapy may improve symptoms and survival