Existe limitada evidencia de la asociación entre actividad física ocupacional y síndrome metabólico. Esto es importante ya que una gran parte del día cotidiano se gasta en el trabajo, el cual es mayormente sedentario. El objetivo del presente estudio fue evaluar la asociación entre niveles de actividad física ocupacional y la presencia de síndrome metabólico. Método: Análisis de datos secundarios usando información de un estudio poblacional en cinco estratos geográficos del Perú. La variable dependiente fue síndrome metabólico definido según consenso internacional; la exposición fue el auto-reporte de actividad física ocupacional (alto, moderado, bajo). Se usaron modelos de regresión de Poisson reportándose razones de prevalencia (RP) e intervalos de confianza al 95% (IC95%).
Germ cell carcinoma during pregnancy is rare. However, its detection has increased due to the use of ultrasound fetal monitoring in the antenatal care program. In this article, we present the case of a Germ cell carcinoma during pregnancy is rare. However, its detection has increased due to the use of ultrasound fetal monitoring in the antenatal care program. In this article, we present the case of a pregnant 27-year-old diagnosed with an adnexal germ cell carcinoma at six weeks of gestation, whose initial approach was local resection (suboptimal cytoreduction). Four weeks after surgery, the patient presented with grade IV peripheral neuropathy in the lower limbs; magnetic resonance imaging scan indicated an infiltrative lesion at D5. The local medical board decided on chemotherapy starting on the 19th week of gestation. The rest of the pregnancy period was uneventful and the patient had a cesarean section at 34 weeks of gestation and a live newborn with no complications. Unfortunately, four days after caesarean section, the patient died of a septic shock with respiratory focus.
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