Xem 1-20 trên 61 kết quả Obesity management
  • Harrison's Internal Medicine Chapter 75. Evaluation and Management of Obesity Evaluation and Management of Obesity: Introduction Over 66% of U.S. adults are currently categorized as overweight or obese, and the prevalence of obesity is increasing rapidly throughout most of the industrialized world. Based on statistics from the World Health Organization, overweight and obesity may soon replace more traditional public health concerns such as undernutrition and infectious diseases as the most significant contributors to ill health.

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  • Lifestyle Management Obesity care involves attention to three essential elements of lifestyle: dietary habits, physical activity, and behavior modification. Because obesity is fundamentally a disease of energy imbalance, all patients must learn how and when energy is consumed (diet), how and when energy is expended (physical activity), and how to incorporate this information into their daily life (behavior therapy). Lifestyle management has been shown to result in a modest (typically 3– 5 kg) weight loss compared to no treatment or usual care.

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  • The three restrictive-malabsorptive bypass procedures combine the elements of gastric restriction and selective malabsorption. These procedures include Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion (BPD), and biliopancreatic diversion with duodenal switch (BPDDS) (Fig. 75-2). RYGB is the most commonly performed and accepted bypass procedure. It may be performed with an open incision or laparoscopically.

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  • Physical Activity Therapy Although exercise alone is only moderately effective for weight loss, the combination of dietary modification and exercise is the most effective behavioral approach for the treatment of obesity. The most important role of exercise appears to be in the maintenance of the weight loss. Currently, the minimum public health recommendation for physical activity is 30 min of moderate intensity physical activity on most, and preferably all, days of the week.

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  • Religious Ties and Investment in Volunteer Management. Next, we considered whether the two groups of charities differ in terms of the investments they have made in the development of their volunteer management programs. Based on average values on the Investments Measure we learned that charities with ties to religious organizations have invested more in volunteer management than charities that do not collaborate with religious organizations. Volunteer Management Challenges Greater among Those with Religious Ties.

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  • Document "Obesity" presentation of content: General aspects, management of obesity, obesity in the elderly, cascades, stakeholders and management options, management options relative to available resources, pharmacotherapy, lifestyle changes, surgery, obesity and the elderly.

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  • (BQ) Part 1 book "Clinical management of overweight and obesity" presents the following contents: Overview of the management of obese patients, diet recommendations, physical activity, therapeutic education, pharmacological management, bariatric surgery.

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  • (BQ) Part 2 book "Clinical management of overweight and obesity" presents the following contents: Eating disorders and obesity, obesity in pregnancy, childhood obesity, geriatric obesity, multidimensional assessment of adult obese patient care and levels of care

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  • Medicine, health care and the wider social meaning and management of health are undergoing major changes. In part, this reflects developments in science and technology, which enable new forms of diagnosis, treatment and the delivery of health care. It also reflects changes in the locus of care and burden of responsibility for health. Today, genetics, informatics, imaging and integrative technologies, such as nanotechnology, are redefining our understanding of the body, health and disease; at the same time, health is no longer simply the domain of conventional medicine, nor the clinic....

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  • By learning how to “dial for dollars,” you can transform the telephone that’s already sitting on your desk into a virtual money-making machine with unlimited potential. Throughout this book, the terms telemarketing and telesales are used interchangeably. However, some people define telemarketing as the use of the telephone to make contact with prospects, whereas telesales involves actually moving the pros- pect further down the sales cycle or sales pipeline. The skills required of a telemarketer and/or telesales professional, as you’ll soon see, are identical....

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  • Diabetes mellitus affects 1-2% of many national populations. Its successful management requires close collaboration between the patient and the doctor.

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  • It has been almost a decade since the first edition of Clinical Management of Diabetic Neuropathy was published. Since then, all societies have seen an explosion in obesity and diabetes. As a result, there is also an explosion in long-term diabetes complications, including diabetic neuropathy. Diabetic neuropathy therefore remains a major health problem that has not only serious consequences for the patient but also carries a significant financial burden for the health care-providing organizations of every society....

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  • A prerequisite for using the facilities offered by the Bundesbank for cashless payments is a current account with the Bundesbank. 1 The Bundesbank manages current accounts for banks and public authorities and, in exceptional cases - with a limited range of services - also for companies and private individuals. Apart from the minimum reserve balances, current accounts with the Deutsche Bundesbank do not bear interest and are run on a credit basis only. In accordance with the cover principle laid down in the BBankG, payment orders are only executed if sufficient cover is available.

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  • Peripherally Acting Medications Orlistat (Xenical) is a synthetic hydrogenated derivative of a naturally occurring lipase inhibitor, lipostatin, produced by the mold Streptomyces toxytricini. Orlistat is a potent, slowly reversible inhibitor of pancreatic, gastric, and carboxylester lipases and phospholipase A2, which are required for the hydrolysis of dietary fat into fatty acids and monoacylglycerols. The drug acts in the lumen of the stomach and small intestine by forming a covalent bond with the active site of these lipases.

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  • Excess abdominal fat, assessed by measurement of waist circumference or waist-to-hip ratio, is independently associated with higher risk for diabetes mellitus and cardiovascular disease. Measurement of the waist circumference is a surrogate for visceral adipose tissue and should be performed in the horizontal plane above the iliac crest. Cut points that define higher risk for men and women based on ethnicity have been proposed by the International Diabetes Federation (Table 75-3).

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  • Although GERD was initially described in the early 19th century, it is essentially a consequence of our modern day largesse. Dietary factors and associated obesity have combined with as yet other unknown factors (e.g. a decrease in the prevalence of H. pylori?) to make GERD one of the most common diseases affecting western society. It is estimated that up to 20 million adults in the United States suffer from GERD, and treatment of these individuals consumes approximately $10 billion annually, the majority of it for prescription drugs used to manage the disease and its symptoms.

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  • The aim of this first exercise, of an aggregate nature, was to give an overall capital figure for the whole of the Spanish banking system. The analysis was top-down, as the information used enabled a sufficiently precise estimate to be made for the whole of the banking system, but was not sufficiently granular to provide for individual bank estimates.

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  • Eco-effi ciency basically means “doing more with less”. It is a management philosophy that encourages municipalities, communities and businesses to seek out environmental improvements that generate parallel economic benefi ts. 1 Social inclusiveness refers to treating all people in a city equally in their access to work and services, such as public transport and health care.

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  • Assessing the Patient's Readiness to Change An attempt to initiate lifestyle changes when the patient is not ready usually leads to frustration and may hamper future weight-loss efforts. Assessment includes patient motivation and support, stressful life events, psychiatric status, time availability and constraints, and appropriateness of goals and expectations. Readiness can be viewed as the balance of two opposing forces: (1) motivation, or the patient's desire to change; and (2) resistance, or the patient's resistance to change.

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  • An organic farm plan is central to the certification process. The farm plan describes production, handling, and record-keeping systems, and demonstrates to certifiers an understanding of organic practices for a specific crop. The process of developing the plan can be valuable in terms of anticipating potential issues and challenges, and fosters thinking of the farm as a whole system. Soil, nutrient, pest, and weed management are all interrelated on organic farms and must be managed in concert to be successful.

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