Understanding Bariatric surgery is an in-depth presentation discussing this medical procedure performed to help individuals with severe obesity achieve weight loss and improve their overall health. It involves modifying the digestive system to restrict food intake or alter nutrient absorption. Common techniques include gastric bypass, gastric sleeve, and gastric banding. Bariatric surgery requires careful patient selection and ongoing postoperative care.
power point presentation on obesity by Rajeshwaree Netha (Doctor of pharmacy).
contents included are Introduction,pathophyisiology,clinical presentation (signs and symptoms of obesity disorder) ,Treatment,goals of treatment, general approach, Pharmacological treatment, and Evaluation of therapeutic outcomes.
This presentation was delivered at Puri on 10th january 2015
on the occasion of annual Rotary District Conference along with IMA Puri. It highlights on metabolic syndrome and its surgical solution.
obesity or over weight is biggest problem nowadays so in this presentation solution and suggestion about weight loss and causes of weight gain prevention on weight gain is given so it help to stay fit and healthy in life
power point presentation on obesity by Rajeshwaree Netha (Doctor of pharmacy).
contents included are Introduction,pathophyisiology,clinical presentation (signs and symptoms of obesity disorder) ,Treatment,goals of treatment, general approach, Pharmacological treatment, and Evaluation of therapeutic outcomes.
This presentation was delivered at Puri on 10th january 2015
on the occasion of annual Rotary District Conference along with IMA Puri. It highlights on metabolic syndrome and its surgical solution.
obesity or over weight is biggest problem nowadays so in this presentation solution and suggestion about weight loss and causes of weight gain prevention on weight gain is given so it help to stay fit and healthy in life
DEFINITION AND MEASUREMENT Obesity is a state of excess adipose tissue mass. Although often viewed as equivalent to increased body weight, this need not be the case—lean but very muscular individuals may be overweight by numerical standards without having increased adiposity.
Body mass index (BMI), which is equal to weight/height2 (in kg/m2 )
Body weights are distributed continuously in populations, so that choice of a medically meaningful distinction between lean and obese is somewhat arbitrary. Obesity is therefore defined by assessing its linkage to morbidity or mortality
Obesity - Pathophysiology, Etiology and management Aneesh Bhandary
Obesity is a state of excess adipose tissue mass. A massive psychosocial, pathophysiological problem that results in a high rate of mortality as well as morbidity. The basic mechanisms of the illness and its management as of 2017 are described in this presentation
Obesity is a life-long progressive, life threatening condition marked by the excess accumulation of body fat, which can significantly reduce life expectancy. When weight reaches extreme levels, it is called MORBID OBESITY and is a chronic condition with numerous medical, psychological and social consequences.
For more information visit - https://www.radiancehospitals.org/medical-treatment/bariatric-surgery
Does being overweight or obese have a negative affect on your life? Learn how weight loss surgery can help you improve your health, feel better, and get your life back! Join us for a review of surgical options, including discussion about lifestyle changes to keep you on track with a healthy weight after weight loss surgery.
Delivered for the 25th Annual Convention of the Philippine Association for the Study of Overweight and Obese (PASOO) at the EDSA Shangri-la Hotel in Manila.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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DEFINITION AND MEASUREMENT Obesity is a state of excess adipose tissue mass. Although often viewed as equivalent to increased body weight, this need not be the case—lean but very muscular individuals may be overweight by numerical standards without having increased adiposity.
Body mass index (BMI), which is equal to weight/height2 (in kg/m2 )
Body weights are distributed continuously in populations, so that choice of a medically meaningful distinction between lean and obese is somewhat arbitrary. Obesity is therefore defined by assessing its linkage to morbidity or mortality
Obesity - Pathophysiology, Etiology and management Aneesh Bhandary
Obesity is a state of excess adipose tissue mass. A massive psychosocial, pathophysiological problem that results in a high rate of mortality as well as morbidity. The basic mechanisms of the illness and its management as of 2017 are described in this presentation
Obesity is a life-long progressive, life threatening condition marked by the excess accumulation of body fat, which can significantly reduce life expectancy. When weight reaches extreme levels, it is called MORBID OBESITY and is a chronic condition with numerous medical, psychological and social consequences.
For more information visit - https://www.radiancehospitals.org/medical-treatment/bariatric-surgery
Does being overweight or obese have a negative affect on your life? Learn how weight loss surgery can help you improve your health, feel better, and get your life back! Join us for a review of surgical options, including discussion about lifestyle changes to keep you on track with a healthy weight after weight loss surgery.
Delivered for the 25th Annual Convention of the Philippine Association for the Study of Overweight and Obese (PASOO) at the EDSA Shangri-la Hotel in Manila.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
3. WHAT IS OBESITY?
WHO and NIH guidelines for Asian:
• Overweight: BMI 23 - 24.9 kg/m2
• Obese: BMI >25 kg/m2.
4. PREVALENCE OF
OBESITY
Obesity is a growing global health concern.
Prevalence has tripled since 1975 (WHO)
In 2016, > 1.9 billion adults were overweight; and
over 650 million adults and 340 million children
were classified as obese
WHO estimates by 2025, the numbers will go
up by another 167 million.
The need for effective interventions is crucial.
5. OBESITY AND
TRADITIONAL METHODS
OF WEIGHT LOSS
Diet and exercise often struggle to produce
sustainable weight loss and, the weight
reduction needed in individuals with severe
obesity.
6. Physiological Factors Psychological Factors Genetic Predisposition
▪ Leptin Resistance
▪ Altered Energy Expenditure
▪ Hormonal Imbalance
▪
▪ Gut Microbiota
• Emotional Eating
• Food cravings
• Reward seeking
• Chronic stress
• Disordered eating habits
• Lack of self esteem
• Low motivation
• Unrealistic expectations
• Metabolism
• Appetite Regulation
• Fat Storage and Distribution
• Response to Exercise
WHY IS THAT?
8. TREATMENT OPTIONS
FOR OBESITY
Comprehensive Lifestyle Modifications
Medical Supervision and Monitoring
Structured Weight Loss Program
Pharmacotherapy
Bariatric Surgery
Long-Term Support and Follow-Up
9. Indication:
In both overweight/obese
when lifestyle modifications and weight
loss medications have not achieved
sufficient weight loss or
when surgery is not feasible or desired.
Can serve as a temporary tool to
jumpstart weight loss,
Note: but long-term success relies on
adopting and maintaining a healthy lifestyle
Types:
Fluid-Filled Balloons
Gas-Filled Balloons
INTRA-
GASTRIC
BALLOONS
10.
11. WHAT IS BARIATRIC SURGERY?
Bariatric surgery is a surgical procedure for weight
loss.
Has emerged as a viable option for achieving substantial and long-
term weight loss, as well as improving or resolving obesity-related
comorbidities
It is not a standalone solution but rather a part of a
comprehensive approach to weight management.
Lifestyle changes and medical management are still
primary interventions for weight loss.
12. HEALTH
BENEFITS OF
BARIATRIC
SURGERY
• Sustained Weight Loss
• Enhanced Quality of Life
• Potential Long-Term
Remission
• Psychological and Emotional
Benefits
• Reduced Mortality and Health
Risks
• Improved Fertility and
Pregnancy Outcomes
• Multidimensional Gains
13. CRITERIA FOR
SURGERY
Body Mass Index (BMI) ≥ 37.5 kg/m²
BMI ≥ 32.5 kg/m² with metabolic syndrome
and/or otherobesity-related comorbidities
Obesity-related comorbidities, such as:
▪ Type 2 diabetes
▪ Hypertension
▪ Sleep apnea
▪ Dyslipidemia
▪ CVS disease
▪ Non-alcoholic fatty liver disease (NAFLD)
14. REFERRAL PROCESS
• Initial assessment and evaluation of general condition
• Identification of eligible candidates
• Discussion and Education with primary physician
• Referral to bariatric surgeon
• Bariatric surgeon evaluation
• Multidisciplinary assessment
• Lifestyle change monitoring and chronic disease Mx by primary physician
• Surgery and follow-up care
• Ongoing care and support by primary physicians and surgeon and
15. TYPES OF GASTRIC SURGERY
Restrictive
(LSG/Banding)
Reduced gastric
volume
Malabsorptive
(BPD/BPD-DS)
Diversion
of digestive liquids
Shorten bowel
Combined Procedure
(RYGB)
Both restrictive and
malabsorptive
components
18. MYTHS & CONCERNS
Fear of Surgical Risks
Nutritional Deficiencies
Fear of Regaining Weight
Misunderstanding of Dietary Restrictions
Perception of "Easy Way Out"
19. LONG TERM
CHALLENGES
A. Nutritional Deficiencies
B. Weight Regain
C.Psychological and Emotional Factors
D. Body Changes and Loose Skin
E. Long-term Medical Management
F. Lifestyle Maintenance
21. COLLABORATIVE
CARE
Crucial in optimizing patient
outcomes.
Holistic approach in addressing
both pre- and postoperative
needs.
Includes:
1. Ongoing Communication
and Coordination
2. Preoperative Management
3. Postoperative Support
4. Long-Term Maintenance
22. TAKE AWAY’S
Effective Rx option for patients with severe obesity, providing sustained
weight loss, improvement in comorbidities, and enhanced quality of
life.
It is not a standalone solution
Nutritional deficiencies can occur after surgery and require regular
monitoring and appropriate supplementation.
Obesity is a serious health concern with profound implications for both
individuals and society. As healthcare providers, it is crucial to counsel
patients about the impact of obesity and help them access the care
they need, including considering bariatric surgery when appropriate.
23. OPENING FEBRUARY 2024
A 250 bed, state-of-the-art private healthcare facility with a comprehensive range of
specialties such as medical, surgical and mental health services; in addition to ambulatory
care, rehabilitation, aged care, and other community programs.
MAHSA SPECIALIST HOSPITAL
