...Limited PakistanJanuary 19, 2015Bariatric Surgery Can Benefit Some Obese Children and Teens, Reports Journal of Pediatric Gastroenterology and NutritionStaff ReporterAlphen aan den Rijn: Wolters Kluwer has issued the following news release: ?Bariatric surgery—?as a last resort when conservative interventions have failed—?can improve liver disease and other obesity-related health problems in severely obese children and adolescents, according to a position paper in the Journal of Pediatric Gastroenterology and Nutrition, official journal of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. ?But because of the potential for serious complications, an expert panel recommends that bariatric surgery be reserved for carefully selected subgroups of young children with severe or morbid obesity and associated medical conditions. The recommendations appear in a new position paper authored by the ESPGHAN Hepatology Committee, under the leadership of Prof. Valerio Nobili of Bambino Gesù? Children’s Hospital, Rome. ?Bariatric Surgery in Children—?Experts Review the Evidence The Committee—?made up of 12 European specialists in pediatric liver disease—?was tasked with reviewing and analyzing the available evidence on bariatric surgery for obese children and adolescents. The epidemic...
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...Synthesis of Bariatric Surgery and the Effects on Comorbidities Abstract This synthesis of literature provides a summary of the data that has been collected over the years through experimentation, literature reviews, qualitative research, and the results that have been construed from that data will be presented. It discusses the concept of the effects of bariatric surgery and answers the question - do people who have the surgery have better health outcomes, specifically with hypertension and type II diabetes mellitus, than those who do not? A summary of research reveals that there is a significant reduction and/or total remission of both of these co-morbidities that were often life long. Other benefits, such as quality of life, social standings, and healthcare cost reduction are examined and positively reported. Review of current data to include strengths and weaknesses, conceptual frameworks, and the current state of knowledge reveal that bariatric procedures have shown the efficacy and safety in the treatment of morbid obesity and have gained wider acceptance in the medical world. Synthesis of Bariatric Surgery and the Effects on Comorbidities For years people have turned to diets in an effort to lose weight and get healthier. At no time has that been more the case than in America today. People spend billions of dollars a year trying to lose weight and the numbers are not encouraging. The prevalence in obesity with related Type...
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...METHODOLOGY The objective of this chapter is to define nursing research, analyse methods of research and outline methodological process used to find articles on which to base this extended literature review. In this hypothesis, the reason for literature review is to ascertain whether or not gastric banding is an effective treatment for obesity in young adults as measured by physical functioning. The research process is the step-by-step procedure of developing research paper (Boje, 2001). It normally consists of following stages: detection of the research problem; preparation of search plan; searching and assessing the literature; data collection and evaluation; formulating a research design; and presenting the research findings (Cormack, 1996). The ability of nurses and other health care professionals to locate and identify existing literature on a relevant topic is an essential nursing skill (Burns & Grove, 2003). The sources where they can gain and expand research knowledge from may include personal or specialist experiences and clinical procedures and guidelines (Eccles & Mason, 2001). Before they can be made assessable to health care workers, guidelines and procedures are required to go through rigorous process of dissemination, before they can be made assessable to health care workers to be used in practice (Craig & Smith, 2007). Some of the organisations responsible for underwriting and implementation of clinical guidelines into clinical practice...
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...1. Analysis of Research Report Paper Mary Ellen Strout HCS/438 Ann Impen April 11, 2011 2. Analysis of a Research Report Paper The article I chose was from the Annals of Surgery, called Multivariate Analysis of Risk Factors for Death Following Gastric Bypass for Treatment. I chose this article, because I did have this surgery done with no complications, and it is also a fascinating procedure and hope to one day work in this area. Pre operative mortality is the most feared outcome of bariatric surgery, it is reported to happen between 0.5 ad 1.5% of patients. In this article it identifies mortality fore either open or laparoscopic Roux-en-y bypass. The database is from Virginia Commonwealth university and was queried for patients who had undergone either an open gastric bypass (O-GBP) or a laparoscopic gastric bypass (L-GBP). A multivariate logistic regression analysis to identify factors related to perioperative mortality was performed. The factors examined included was age, gender, body mass index, preoperative weight, hypertension, diabetes mellitus, sleep apnea, obesity hypoventilation syndrome, venous 3. Analysis of a Research Report Article stasis ulcers, intestinal leak, small bowel obstruction, and pulmonary embolus. The data was found to find independent factors related to early death. Early death was defined as death that occurs within 30 days of the initial procedure or as a direct result of a complication of the original procedure (Annals...
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...Complementary essay on Bariatric Surgery Week 7 Adil Khan English 112: Composition Professor Robert Zancy Devry University In a world where fast food is preferred over home cooked meals, due to convenient drive-through lanes, obesity has become an epidemic throughout America. According to the Mayo Clinic “Almost two-thirds of Americans are classified as overweight, obese, or extremely (morbidly) obese and these numbers are expected to increase.”(Curry, 2003) Obesity is basically the buildup of body fat, which usually is around 20% or more over the ideal body weight. The division of medicine that treats and manages of obesity is known as bariatrics. Obesity has become a key health problem in the United States, therefore Gastric Bypass surgery has become a significant therapeutic option because of its documented efficiency in causing significant weight loss with a consequent improvement in comorbid conditions such as coronary artery disease, hypertension and diabetes. Bariatric surgery is a very invasive medical procedure that can causes dramatic weight loss which is accomplished by decreasing the size of the stomach with a gastric band or by removing a portion of the stomach itself. Weight loss surgery is the most effective and sustainable treatment option for the morbidly obesity as long as the individual is motivated to make the lifestyle changes required (Madura, 2012). Currently, bariatric surgery is the one obtainable treatment for morbidly obese individuals that consistently...
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...Gastric Bypass and Diabetes Literature Research Shayne Howard Grand Canyon University: NRS-433V Introduction to Nursing Research 03/19/2016 Introduction Diabetes is one of the most deadly diseases known to man. That is a bold statement but when you consider that a big percentage of the other most deadly diseases like heart disease, kidney failure and strokes can be caused by diabetes then it puts it in to perspective. Diabetes causes many health problems besides these as well. The complications associated with diabetes are numerous but include neuropathy, blindness, amputation, impotency, depression and cognitive decline just to name a few. Some of these complications are inevitable but they can be avoided or at least prevented for an amount of time with proper diet and exercise or following a medication regimen. For some however the disease hits too hard too fast or because of physical restraints exercise is not a viable option. For these patients a surgical option such as weight loss surgery may be their only recourse. There are 4 major types of weight loss surgery that can be used to treat morbid obesity and in turn diabetes. There are the Roux-En-Y Gastric Bypass, the Gastric sleeve, Gastric banding, and the Duodenal switch. The most popular for mild weight loss is the gastric band in which an adjustable band is place around the stomach limiting the size and thereby limiting the amount of food intake. This is less invasive and reversible but also less effective overall...
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...Childhood Obesity is not limited to the United States it is becoming more of a problem for every child all over the world. Childhood obesity is defined as having excess body fat, and being overweight means that having excess body weight from fat, muscle, bone water or a combination of these factors (CDC, 2013). A way to determine if a child is overweight is by using the body mass index chart. This chart can determine if a child is at an unhealthy weight, healthy weight, overweight, or obese (CDC, 2013). There are many health issues for those who are overweight or obese such as high blood pressure, high cholesterol, diabetes and more. There has been a lot of research conducted on childhood obesity from kindergarten to middle school, whether or not appetite is linked to obesity, and whether or not children should have bariatric surgery to remove the fat. Obesity is a major problem because it causes many health problems. Children that are overweight or obese are more likely to suffer from high blood pressure or high cholesterol (CDC, 2013). In a sample of obese children 70% hat at least one risk for cardiovascular disease (CDC, 2013). Children who suffer from obesity are also more likely to suffer from joint and bone problems (CDC, 2013). Being overweight or obese also leads to an increased risk of cancer which includes breast cancer, thyroid cancer, colon and more (CDC, 2013). A new study showed that of more than 7,000 children who were overweight in kindergarten were obese by the...
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...hypnotherapy (or hypnosis) for advancement of a weight-loss program. Hypnotherapy has been seen to be a valuable tool so far in the modifications of problem behaviors, such as overeating for a person who is overweight or obese. The hypothesis of the research proposal is that those who receive hypnotherapy in conjunction with a supervised diet and exercise program will lose more weight that those who only participate in the diet and exercise program. METHOD: The 20 participants will be chosen from a target population. In order to be a participant in the research proposal the individual must be between the ages of 21 and 45, of either gender, have a primary diagnosis of obesity (with or without co-morbidities), have tried at least one weight-loss program prior, and be either referred to the bariatric program by a physician, or be a current patient of the bariatric program. The participants will be broken into two groups of 10 participants. Group 1 consists of 10 participants who will participate in hypnotherapy in combination with a diet and exercise program established by a dietary team. Group 2 contains 10 participants who will participate in only a diet and exercise program established by a dietary team. This research proposal is an example of a quasi-experiment. The measurements will be obtained with a standard digital scale. RESULTS: The data of the proposal will consist of weight measurements from each participant. The data will be analyzed...
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...University Composition and Communication II Research Paper Thelma McCoy COM/156 March 08, 2015 Clara Gerl To fully understand weight lose, we need to come to grips with the the overwhelming of obesity in the United States. There are two methods of weight loss that could change one’s lifestyle. In today’s society the internet provides a sufficient amount of information about different methods to help with weight loss. Weight can be harmful factor in an individual’s life, it is not only about the body mass but weight often plays a role mentally and physically if it is abused. For example, being overweight can lead to obesity and low self-esteem. Losing weight can be a challenging, so many people look for the most effective way to lose weight through surgical procedures and weight lost programs. There are a variety of weight loss progams that offer extended support and dietary meal plans. Many weight loss programs provide the option of support, either through weekly excerise programs. These choices range from extreme workout methods, such as video games, such as the Nintendo WII fitness. Many people go to such extremes to lose weight that causes more damage to their bodies. However, even if you do like wht at you fine, consulting a doctor is even more important. With weight loss being in high, we forget that having a well-balanced diet, and exercise is healthier than bulimia and anorexia. People seem to not understand is that losing weight...
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...Disease Trends and the Delivery of Health Care Services HCA 240 June 16, 2013 * * * This document will discuss how demographics disease trends affect the delivery of healthcare. Starting with current age composition of the United States population and how future changes will occur in the next 10 to 20 years. Next will be identifiable factors that support environmental and changing demographic trends. Providing examples of relevant diseases and how the aging trend will increase or decrease health issues and how to reduce health complications because of age. The current rate of obesity will be discussed and how it will change in the next 10 to 20 years. This paper will identify environmental and changing demographics related to the obesity trend; including examples of diseases related to this health issue. Explaining how this trend may increase or decrease health issues and how to reduce health complications. Last this document will discuss the future and how healthcare services will adapt to provide care for these trends and age-related health issues. * The current age composition of the United States population is based on two measures, estimates of the past and projections supported by assumptions on future demographic trends. Estimates gather information on existing data from several sources; whereas, projections assume what the future demographic trends will be. The current United States population is the world’s third largest population of over...
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...income populations are more at risk for obesity and its co-morbidities. Some contributors to obesity are physical and social environments that promote foods high in fat and calories. Coincidently, promote environments with little or no physical activities. Even with these environments that contribute to bad nutrition and sedentary lifestyles, society still view obesity is as a personal responsibility. Nurses addressing the obesity epidemic require a shift from the norm of blaming individuals for the lack of will power to control their eating and physical activity but toward a healthy environment as a primary determinant. This paper addresses the obesity crisis from individual, family, local community and public policy perspectives and the nurses’ role to promote change, advocate for policy initiatives, and help reverse the obesity epidemic. This paper also addresses the nurse’s role in anticipating obesity related issues, such as, skin, pulmonary, intravenous access, and mobility. Challenges are considered and interventions to address these issues are presented. Nurses Addressing the Obesity Epidemic Obesity is a major concern for the healthcare professional because it has become an epidemic in the United States of America. More than two thirds of American adults are defined as obese (Roth & Schlenker, 2011). According to data from the National Health and Nutrition Examination Survey (2009), 68% of U.S. adults ages 20 and older in 2007 and 2008 were...
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...QI Plan Part I- Consumerism HCS/588 October 17, 2011 QI Plan Part I- Consumerism Healthcare organizations have a responsibility to its consumers and various stakeholders to ensure only the highest quality care is delivered. Quality measures such as performance measurement and quality improvement processes play a critical role in helping organizations achieve quality outcomes. This paper will contrast performance measurement and quality improvement processes. In addition, this paper will discuss a healthcare organization, Gulf Coast Medical Center, its mission and QI goals, and the role of the consumer and stakeholders in the QI process. Performance Measurement vs. Quality Improvement Processes Performance measures are an important element of the overall quality management of an organization. “Performance measures quantitatively tell us something important about our products, services, and the processes that produce them” (Oak Ridge Institute for Science and Education, n.d.). In the healthcare industry, performance measures are a tool used to help understand, manage, and improve what healthcare organizations do. Performance measures are composed of units of measure; a number to tell how much, a unit to give the number a meaning of what, each tying in to the overall target number. In contrast, quality improvement (QI) focuses on bridging the gap between current levels of quality and expected levels of quality. “QI uses...
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...Health Promotion: Adult Obesity NURP 570: Health Promotion: A Global Perspective February 10, 2016 Health Promotion: Adult Obesity Obesity has become America’s most serious epidemic. After smoking, it is the leading cause of preventable, premature death in the United States (Daddario, 2007). An estimated 400,000 deaths are attributed to obesity in the United States each year (Christou, 2004). Higher death rates are also attributed to secondary conditions and diseases related to obesity. Nurse practitioners are involved in many aspects of the overweight or obese patient’s care. This care can be managed directly in a weight management program (teaching and counseling for conventional weight management or bariatric surgery) or through providing care to the patient affected by one or more of the many comorbidities of obesity (Daddario, 2007). Lifestyle changes are relevant when a patient’s body mass index (BMI) has increased to 25–29.9 or the point of being overweight. Behavior change models are important to prevent weight gain and to help the person meet the goal of living a healthier, longer life. The Health Belief Model (HBM) addresses the effects of beliefs on health and the decision process of making behavioral changes (Daddario, 2007). The HBM consists of five components (Edelman, 2013). * Perceived susceptibility is a person’s perceived risk for contracting an illness or health condition of concern to the researchers. * Perceived severity is a person’s perception...
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...Take Home Final Examination Hamline University School of Law 2013 Spring Semester Exam Number __ __ __ __ __ Instructor : Course Title : Section : Format : Total Time for Exam : Total Number of Pages : Professor Thaddeus Pope Bioethics & Law Law 9558, Section 1 Take Home 72 hours 13 Pages Reference Materials Allowed Open Book (all reference materials allowed) Take-Home Exam Instructions 1. Please know your correct Spring 2013 exam number and include this number at the top of each page of your exam answer (for example, in a header). To locate your exam number, go to www.hamline.edu and follow the steps below. A graphic guide to locating your exam number is attached to these instructions. Click on Logins in the header. Go to Piperline Log in to the secure area Enter your Student ID and PIN Click Student Services Click Registration Click Student Detail Schedule Select the appropriate term from the drop down menu Exam Numbers are listed below Total Credit Hours at the top of the page 2. Confirm that you are using and have typed the correct exam number on your exam document. 3. You may download the exam from the course TWEN site any time after 12:01 a.m. on Monday, April 29, 2013. All exams must be submitted within 72 hours of download. But, in any case, all exams must be submitted by the end of the final exam period, i.e. by 11:59 p.m. on Monday, May 13, 2013. Therefore, you will want to download...
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...I have a little more than two years working experience as a nurse on the medical surgical floor that focuses on orthopedic and bariatric patients. I also have another job as a medication assistant at Austin Community College (ACC). This job allows me to collaborate with a nursing instructor by educating level one nursing students in a hospital setting in medication administration safety, basic nursing skills, critical thinking skills, evidence-based practice, core measures, and providing effective and holistic nursing care. My goals as a nurse is to build a trusting relationship with my patients and promote the patient’s sense of control in order to attain quality, holistic health. These goals are very similar with my ACC students. As I assist in teaching them how to reach their potential as a future nurse, I want us to trust each other, and I want them to be autonomous in researching answers themselves to provide quality care. My nursing care before this class was more focused on evidence-based practice since I did not consciously incorporate theory into my bedside practice. This personal framework paper will review my personal values, beliefs, and nursing philosophy in relation to my bedside nursing practice and medication assistant position. I will describe Erickson, Tomlin, and Swain’s Modeling and Role Modeling Theory (MRMT) and how it applies to the nursing metaparadigm and my nursing practice. I will further compare and contrast the theory of Modeling and Role Modeling...
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