Publications by authors named "A Arapaki"
Cancer during childhood and adolescence remains a major public health issue, affecting a significant portion of this age group. Although newer anti-cancer treatments have improved survival rates, this comes at a cost in terms of gonadotoxic effects. As a result, the preservation of fertility is important.
View Article and Find Full Text PDFThe majority of young women will experience discomfort associated with menstrual cycles and miss out on education and social opportunities. Endometriosis, the presence of endometrial glands and stroma outside of uterus, is the most common cause of secondary dysmenorrhea and characterized by pain despite treatment with nonsteroidal anti-inflammatory drugs and hormonal agents. The true prevalence of adolescent endometriosis is not clear.
View Article and Find Full Text PDFArticle Synopsis
- Recent studies indicate a rise in precocious puberty, particularly in girls, which is linked to increasing childhood obesity due to poor nutrition and energy imbalance.
- High-fat and high-glycaemic-index diets may trigger hypothalamic inflammation, leading to the activation of microglial cells that can stimulate gonadotropin-releasing hormone (GnRH) neurons, potentially causing early onset of puberty.
- The review explores the relationship between diet-induced inflammation and precocious puberty, focusing on the physiology of GnRH neurons and the underlying mechanisms detailed in recent research.
Background: Reinforcement of the staple line in laparoscopic sleeve gastrectomy (LSG) is a practice that leads to less morbidity, but equivocal results have been reported in the literature.
Materials And Methods: This is a prospective randomized study comparing two groups of patients who underwent LSG. In one group LSG was performed with a running absorbable suture placement at the staple line.
Background: Laparoscopic sleeve gastrectomy is one of the most recent advances of surgery for treating morbid obesity. Many laparoscopic devices have evolved to provide vascular control and tissue dissection.
Methods: This is a prospective randomized study comparing the intraoperative and postoperative complications and operative time of two groups of patients who underwent laparoscopic sleeve gastrectomy.