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Video: Doctors operate in darkness as Gaza hospitals face power crisis
Video: Doctors operate in darkness as Gaza hospitals face power crisis

Al Jazeera

time10-07-2025

  • Health
  • Al Jazeera

Video: Doctors operate in darkness as Gaza hospitals face power crisis

Doctors operate in darkness as Gaza hospitals face power crisis NewsFeed Doctors in Gaza have been forced to operate in darkness as hospitals face a power crisis due to Israel's war on the enclave. Two of Gaza's largest hospitals have issued desperate pleas for help, warning without power the medical centres will be turned into 'graveyards'. Video Duration 01 minutes 01 seconds 01:01 Video Duration 02 minutes 55 seconds 02:55 Video Duration 00 minutes 21 seconds 00:21 Video Duration 01 minutes 05 seconds 01:05 Video Duration 01 minutes 03 seconds 01:03 Video Duration 01 minutes 31 seconds 01:31 Video Duration 01 minutes 23 seconds 01:23

Auckland woman charged $300 for GP 'menopause' consult
Auckland woman charged $300 for GP 'menopause' consult

RNZ News

time03-06-2025

  • Business
  • RNZ News

Auckland woman charged $300 for GP 'menopause' consult

An Auckland woman is questioning a $300 GP charge for a so called 'menopause' consultation, to discuss hormone replacement therapy. A regular 15 minute Doctors visit at the central Auckland clinic is $70 for an enrolled patient. But it lists a $300 fee for a menopause consult, that's for a 45 minute long appointment. Checkpoint has found several medical centres around the country charging several hundred dollars for an initial menopause consultation and more than $100 for a follow-up. Carla said she was shocked by the fee, she spoke to Lisa Owen. Tags: To embed this content on your own webpage, cut and paste the following: See terms of use.

Liver Disease Common in Kids and Teens With Severe Obesity
Liver Disease Common in Kids and Teens With Severe Obesity

Medscape

time30-05-2025

  • Health
  • Medscape

Liver Disease Common in Kids and Teens With Severe Obesity

Metabolic-associated fatty liver disease (MAFLD) was more prevalent in children and adolescents with severe obesity, with these patients showing more pronounced insulin resistance and a higher number of metabolic syndrome (MetS) components. METHODOLOGY: Researchers evaluated the prevalence of MAFLD in 212 children and adolescents with severe obesity (mean age, 13.2 years; 53.8% girls) recruited from four medical centres in Poland from May 2022 to September 2023. Severe obesity was defined as having a body mass index (BMI) > 30 for individuals aged 3-6 years, > 35 for individuals aged 6-14 years, and > 40 for individuals older than 14 years. All patients underwent abdominal ultrasonography, physical examination, body composition analysis, and biochemical assessment. MAFLD was diagnosed on the basis of liver steatosis detected by ultrasonography and/or persistently elevated alanine aminotransferase concentrations (> 52 U/L for boys and > 44 U/L for girls). MetS was confirmed using the International Diabetes Federation (IDF) criteria for children aged 10 years or older and modified IDF criteria for those younger than 10 years. The association of hepatosteatosis with anthropometric profiles and metabolic risk factors was also assessed. TAKEAWAY: MAFLD was present in 59.0% of patients, with sonographic assessment of hepatosteatosis in 55.4% of patients and elevated alanine aminotransferase concentrations without liver steatosis in 3.3% of patients. MetS was diagnosed in 66.5% of patients with MAFLD vs 57.5% of patients without MAFLD, with a significantly higher proportion of patients with MAFLD having four or more MetS components (33.6% vs 12.6%; P = .0004). = .0004). Patients with MAFLD had higher glucose and insulin levels both at fasting and 120 minutes during the oral glucose tolerance test. Increased insulin resistance was noted more frequently in patients with MAFLD than in those without MAFLD (16.5% vs 6.5%; P = .04). = .04). A ratio of alanine aminotransferase to aspartate aminotransferase > 1.5 (adjusted odds ratio [aOR], 19.79; P = .018) and a fasting glucose level > 100 mg/dL (aOR, 44.53; P = .009) were independently associated with MAFLD. IN PRACTICE: "MAFLD is a predictor of developing MetS and an increased risk of its components, especially glucose metabolism disorders. Therefore, patients diagnosed with MAFLD should be under special medical supervision for the detection and prevention of metabolic complications," the authors wrote. SOURCE: This study was led by Magdalena Mierzwa, Medical University of Silesia, Zabrze, Poland. It was published online on May 20, 2025, in the Journal of Clinical Medicine . LIMITATIONS: Ultrasound-based steatosis assessments varied by centre, potentially leading to discrepancies due to subjective assessment. This cross-sectional study involved only children and adolescents with severe obesity, thereby limiting generalizability. DISCLOSURES: This study was supported by the National Science Center, Poland. One author reported being employed by Mediagnost GmbH.

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