Seyed Ali Hosseini; Nasibeh Kazemi; Saeedeh Shadmehri; Shariat Jalili; Mozhgan Ahmadi
Abstract
Objectives: This study aimed to investigate the effect of resistance training in water and land with vitamin D on anti-Mullerian hormone in women with polycystic ovary syndrome (PCOS). Methods: Sixty women with PCOS (20 - 35 years old) referred to the Hafez Hospital in Shiraz in 2018 were selected and ...
Read More
Objectives: This study aimed to investigate the effect of resistance training in water and land with vitamin D on anti-Mullerian hormone in women with polycystic ovary syndrome (PCOS). Methods: Sixty women with PCOS (20 - 35 years old) referred to the Hafez Hospital in Shiraz in 2018 were selected and randomly divided into six groups of (1) control, (2) water training, (3) land training, (4) vitamin D, (5) water training with vitamin D, and (6) land training with vitamin D. Groups 2, 3, 5, and 6 performed resistance training in water and land for eight weeks, three sessions per week, while groups 4, 5 and 6 consumed vitamin D for eight weeks. For statistical analysis of data independent samples t-test, one-way ANOVA and Tukey’s post hoc tests were used (P ≤ 0.05). Results: Training in water and land have no significant effect on anti-Mullerian hormone (P ≥ 0.05); vitamin D, training in water with vitamin D, and training in land with vitamin D have significant effect on reduction of anti-Mullerian hormone (P = 0.001); training in water with vitamin D and training in land with vitamin D have more effect on reduction of anti-Mullerian hormone rather than vitamin D (P ≤ 0.05) and after training in water with vitamin D (P = 0.01) and training in land with vitamin D (P = 0.001) there is a significant relationship between anti-Mullerian hormone changes and weight. Conclusions: It appears that resistance training in water and land combined with vitamin D consumption may decrease the anti-Mullerian hormone by reduction in weight and as a result improve ovarian and reproductive function in women with PCOS.
Hubert Amu; Kenneth Setorwu Adde
Abstract
Background: Ghana was unable to meet the millennium development goal five target of 190 maternal deaths per 100,000 live births in 2015, as the country’s maternal mortality ratio is still high (358 deaths per 100,000 live births). A target of the newly-set sustainable development goal three also ...
Read More
Background: Ghana was unable to meet the millennium development goal five target of 190 maternal deaths per 100,000 live births in 2015, as the country’s maternal mortality ratio is still high (358 deaths per 100,000 live births). A target of the newly-set sustainable development goal three also requires the country to reduce the maternal mortality ratio to less than 70 deaths per 100,000 live births by 2030. We examined the country's emergency preparedness in pursuit of this target.
Methods: The study was a descriptive cross-sectional survey, which collected data from 537 physicians and nurses/midwives at three regional level health facilities in Ghana using a 26-item questionnaire. Frequency, percentage, and chi-square statistics were used in presenting the results and describing associations. All analyses were done using SPSS (version 22).
Results: We realized that about 6-10 maternal emergency cases were recorded at the selected facilities every week. Essential logistics such as oxygen, blood, and ambulance services required for managing such cases were either never available, or sometimes not available. Even though training courses/workshops were regularly organized to improve the emergency preparedness of health professionals, most of them did not attend.
Conclusions: Health professionals are not prepared to handle all maternal emergency cases due to non-availability of some essential logistics and a lack of regular training to update their skills to enable them to handle such cases. Ghana is, therefore, unlikely to meet the sustainable development goal three target by 2030. To forestall this, management of hospitals and the Ghana health service must ensure that all essential logistics are always available at hospitals to avert unwarranted maternal deaths. A whipping system should also be put in place to ensure professionals attend training workshops organized for them.
