: Despite the small number of cases, this study indicates that excision of the transformation zone is associated with an increased risk of overall preterm delivery and low-birth weight infants in subsequent pregnancies. No significant difference was found between the 2 cervical excision procedures.

We used a prospective cohort to analyze the effect of change in BMI rather than change in weight, in mothers carrying dichorionic twins from a population that did not receive any dietary intervention. A total of 269 mothers (150 nulliparas and 119 multiparas) were evaluated. The average change (%) from the pre-gravid BMI was 7.2 ± 6.1, 17.4 ± 8.2, and 28.7 ± 10.8, at 12–14, 22–25, and 30–34 weeks, respectively, without difference between nulliparas and multiparas. The comparison between maternities below or above the average change from the pregravid BMI failed to demonstrate an advantage (in terms of total twin birthweight and gestational age) of an above average change from the pregravid BMI, even when the lower versus upper quartiles were compared. Our observations reached different conclusions regarding the recommended universal dietary intervention in twin gestations. A cautious approach is advocated towards seemingly harmless excess weight gain, as normal weight women may turn overweight, or even obese, by the end of pregnancy, and be exposed to the untoward effects of obesity on future health and body image.

By comparing EFWs, 59.5-71.4% of discordant pairs >25% are missed, whereas an AC ratio >1.3 would identify almost all cases.

Diabetic mastopathy (DMP) is an uncommon collection of clinical, radiological, and histological features, classically described in premenopausal women with long-term insulin-dependent diabetes mellitus. This entity can mimic breast carcinoma, but, in the appropriate clinical and imaging setting, the diagnosis can be made by core biopsy, avoiding unnecessary surgeries.We report the case of a 34-year-old female, with a 12-year history of type 1 diabetes, who presented with bilateral breast lumps. Mammography, ultrasonography, and magnetic resonance imaging could not exclude the suspicion of malignancy, and a core biopsy was performed showing the typical histologic features of DMP.The literature is briefly reviewed.

IntroductionFalls are event that would occur in everyone, although the most affect are the children and the elderly, and represent a high healthcare costs.ObjectiveTo describe falls mortality trends in Mexico from 1979 to 2007.MethodologyMortalities and trends were estimated for the study period from Mexicos official data based on the International Classification of Diseases. Injuries code includes were E880 to E889 (ICD-9) and W00 to W19 (ICD-10). Results were analysed by age group, sex and year registered, as well as by state and size of city or town of residence.ResultsFrom 1979 to 2008 we count 52 072 deaths from falls, of which 77.7% were men. The group of age with the highest mortality was the 80 years old and older. The place where falls occur in a third of deaths is residential institution/home. The states that show the higher rates of mortality from falls in the last period of time (2006–2008) are Aguascalientes, Jalisco and Queretaro.ConclusionsFalls are deathly events that predominantly affect the men and the elderly. In general, the trend shows a consistent mortality decrease interrupted by a rise in 1998, a year that introduced the ICD-10 in Mexico. Since the population in Mexico is ageing, the absolute number of deaths by this cause will increase.