GENDER MEDICINE does not seem to change the overall risk of cancer. The increased risk of breast cancer is compensated by the protec- tive effect toward endometrial and ovarian cancer. 49 Gender in Medical Education: The Nijmegen Pilot-Project Toine L.M. Lagro-Janssen; Linda J.L. Mans; and Petra Verdonk Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands In 1998, gaps regarding gender issues in the fields of biolog- ical, psychological and social factors were found to exist in the basic medical curriculum of the Nijmegen University Medical Centre. After screening education material for lan- guage, content and context, we recommended adjustments for the incorporation of gender issues. In this study, adjust- ments were evaluated. Our aim was to investigate whether gender had been successfully incorporated into the curricu- lum and what factors had played a role. Education material was re-evaluated and interviews were held with the block coordinators of nine curricular blocks. Our results show that gender had increasingly been brought to the attention of the students since the beginning of the project. Various fac- tors played a role: concrete and directly executable content- oriented recommendations, adequate translation of gender differences into actual patient care, motivated block coordi- nators, presence of a trigger-person in the faculty, incorpo- ration into the existing education programme, involvement of block coordinators in decision-making, and the provision of practical and political support. Integration of the factor gender into the basic medical curriculum has been largely successful. Block coordinators' personal recognition of the importance of gender in patient care greatly facilitated implementation. The evaluation stimulated the formation of new ideas and agreements. We recommend that condi- tional factors are taken into consideration in the integration of the factor gender into other faculties. 5O Prevalence of the Metabolic Syndrome Among Spanish Adult Patients in Primary Care Center Hen Liberman; Alfonso Munoz Urena; Carmen Imbernon Garcia; Maria Canovas Vidal; Carmen Perez-Crespo Gomez; Carmen Botias Martinez; Alfonso de Miguel Gomez; and Silvia Navarro Sanchez Centro de Salud San Anton, Cartagena, Spain Objectives: To estimate the prevalence of metobolic syn- drome (MS) among adult patients appointed to our pri- mary care health center. Determine the prevalence of the risk factors in MS's patients by gender. Method: Transversal descriptive study. Randomized simple sample in each group. Data collected from 349 patients between 07/01/04 to 07/15/05. Results: Prevalence of MS according to OMS cri- teria was 21.8%; according to ATPIII 21.2% (43.2% men; 56.8% women, P = 0.434). Patients with established hyper- tension associated to MS, 23.4% men; 26.1% women. Cluster with diagnosis of diabetes or impaired glucose toler- ance associated with MS, 29% men; 35% women. Obesity associated to MS, 35.7% men; 31.7% women. Dyslipidaemic patients associated to MS, 24% men; 26.4% women. Cardio- $58 vascular risk factors control in patients with established MS: Systolic blood pressure <140 mm Hg: 69.2% in men; 69.2% in women. Diastolic blood pressure <90: 79.3% men; 89.7% wo- men. Fasting glucose <110 mg/dL, 59.4% men; 42.9% women. BMI <30 kg/m 2, 23.3% men; 15.8% women. HDL >40 mg/dL, 46.1% men; 95% women. Total cholesterol/HDL >5 mg/dL, 61.5% men; 73.3% women. Triglycerides <150 mg/dL, 25.8% men; 26.2% women. Active tobacco smokers with MS, 37.5% men; 2.4% women. Conclusions: By gender, non- significant differences were observed in the prevalence of MS, either in the cardiovascular risk factor cont,ol. In active tobac- co smoking patients we found more prevalence of MS. Mesh terms: cardiovascular risk, gender, metabolic syndrome. 51 Elderly Women Experience Lower Rates of 5-Year Mortality Following Stroke in the United States Judith Lichtman; Harlan Krumholz; Yun Wang; and Lawrence Brass Yale University School of Medicine, New Haven, CT, USA Background: Little information exists on whether there are gender differences in long-term mortality among elderly stroke survivors. We sought to compare 5-year mortality rates among elderly American men and women following an ischemic stroke. Methods: We examined 5-year mortality rates among all fee-for-serviceMedicare patients >65 years of age hos- pitalized with an ischemic stroke diagnosis (ICD-9 434,436) from 1993 to 1999. Cox proportional hazards models cen- sored for deaths and adjusted for covariates (year of discharge, demographic characteristics, and clinical history within the 12 months prior to the index stroke event). Results: A total of 1,919,963 stroke hospitalizations were identified from 1993- 1999 (mean age, 78 years; 58% women; and 86% white). The crude 5-year mortality was 55% for women and 64% for men. In risk-adjusted analyses, women had lower mortality rates than men (HR 0.72, [95% CI 0.72-0.73]), and the mortality risk decreased further for women with advancing age (HR 0.72, [0.72-0.73]; HR 0.70, [0.69-0.71]; HR 0.69, [0.68-0.69], respectively, for ages 65-74, 75-84, and 85+). In risk-adjusted analyses stratified by race, the gender patterns for whites were comparable with the patterns for the total sample; however, among blacks, women had consistently lower risk-adjusted mortality rates as compared with men in all age groups (HR 0.69 [0.67-0.71], HR 0.68 [0.67-0.70], and HR 0.69 [0.67-0.70], respectively, for age groups). Conclusion: Our data demonstrates gender differences for long-term mortality, and raises interesting questions about the etiology and other potential factors that may be responsible for the observed gender difference in stroke outcomes. 52 Evaluation of Sonograghy After Suction Curettage in Mole Hydatiformis Sara Masihi; Taghi Razi; and Farideh Moramezi Imam Hospital, Ahvaz, Khouzestan, Iran Suction curettage is the preferred method for evacuation of H.mole. It is recommended to be followed by a sharp curet- tage to remove any residual tissue in the uterine cavity. Locally invasive GTT develops in almost 15% of cases post molar evacuation. In spite of the above procedures, there is