Classic gallbladder symptoms were identified in 61 patients and an atypical presentation occurred in 32 patients. The EF with CCK stimulation was not significantly different between the groups (19+/-9% vs. 16+/-7%, P=). Of those with atypical symptoms, 28% (9 out of 32) had resolution of their symptoms without surgery. About 72% (23 out of 32) had worsening or progressive symptoms that did not resolve during observation, and later underwent surgery. Of these, 57% (13 out of 23) had resolution of their symptoms after surgery, but 43% (10 out of 23) had no improvement. Of those with classic symptoms, 60 patients underwent laparoscopic cholecystectomy with resolution of symptoms in 58 (97%). Patients with classic symptoms were 22 times more likely to have relief after cholecystectomy (odds ratio , P=). Eight patients had their symptoms recur more than 1 year after surgery (3 atypical and 5 classic) such that at long-term follow-up, cholecystectomy had helped only 43% of the atypical patients and 88% of the classic patients.
The purpose of this study was to investigate the effect of abdominal exercises on abdominal fat. Twenty-four healthy, sedentary participants (14 men and 10 women), between 18 and 40 years, were randomly assigned to 1 of the following 2 groups: control group (CG) or abdominal exercise group (AG). Anthropometrics, body composition, and abdominal muscular endurance were tested before and after training. The AG performed 7 abdominal exercises, for 2 sets of 10 repetitions, on 5 d·wk(-1) for 6 weeks. The CG received no intervention, and all participants maintained an isocaloric diet throughout the study. Significance was set at p = for all tests. There was no significant effect of abdominal exercises on body weight, body fat percentage, android fat percentage, android fat, abdominal circumference, abdominal skinfold and suprailiac skinfold measurements. The AG performed significantly greater amount of curl-up repetitions (47 ± 13) compared to the CG (32 ± 9) on the posttest. Six weeks of abdominal exercise training alone was not sufficient to reduce abdominal subcutaneous fat and other measures of body composition. Nevertheless, abdominal exercise training significantly improved muscular endurance to a greater extent than the CG.
Luckily we do have a very small bottle of peppermint oil (.125oz) we got when our kids had a lice problem from school. Not much left but I put a few drops on a few cotton balls and set them in the base cabinet where they seem to be coming from. The main drain pipe from the sink goes straight down through our concrete slab and I’m sure they’re coming in from there but I’m not sure from where on the outside. Too much snow here to even check. Hoping the oil and the cleaning makes them move out soon. We’re going to have guests next week.