...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...
Words: 3074 - Pages: 13
...articles nature publishing group Intervention and Prevention Behavioral and Psychological Care in Weight Loss Surgery: Best Practice Update Isaac Greenberg1, Stephanie Sogg2 and Frank M. Perna3 The objective of this study is to update evidence-based best practice guidelines for psychological evaluation and treatment of weight loss surgery (WLS) patients. We performed a systematic search of English-language literature on WLS and mental health, quality of life, and behavior modification published between April 2004 and May 2007 in MEDLINE and the Cochrane Library. Key words were used to narrow the search for a selective review of abstracts, retrieval of full articles, and grading of evidence according to systems used in established evidence-based models. Our literature search identified 17 articles of interest; 13 of the most relevant were reviewed in detail. From these, we developed evidence-based best practice recommendations on the psychological assessment and treatment of WLS patients. Regular updates of evidence-based recommendations for best practices in psychological care are required to address the impact of mental health on short- and long-term outcomes after WLS. Key factors in patient safety include comprehensive preoperative evaluation, use of appropriate and reliable evaluation instruments, and the development of short- and long-term treatment plans. Obesity (2009) 17, 880–884. doi:10.1038/oby.2008.571 Introduction Evidence-based best practice...
Words: 4657 - Pages: 19
...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...
Words: 2051 - Pages: 9
...types of surgical procedures that are being carried out robotically such as urological, gynecological, cardiac, and general surgeries. “Shorter hospital stays, smaller incisions, less blood loss, quicker recovery, less painful, reduced rates of bacterial infections and blood transfusions, eliminating the surgeons hand tremors, more comfort and decrease in fatigue for the surgeon, 3D view, superior suturing skills, reverse fulcrum” are some of the advantages that affect the patient. Disadvantages involved with robot assisted surgery are “high cost, the large size of the robot, lack of compatible instruments and equipment, lengthy set up times, longer operative times, lack of haptic tactile feedback,” but are believed to disappear with more research and time. Surgical robots could be the most successful and most used technology in surgery in the future. “A surgical robot has been defined as a computer-controlled manipulator with artificial sensing that can be reprogrammed to move and position tools to carryout arrange of surgical tasks.”(1) Different surgical robots that are being used are the da Vinci, Endowrist, AESOP, Zeus, PROBOT, ROBODOC and SOCRATES which can be considered some of the most common. For the surgeon the da Vinci robotic system “provides...
Words: 3920 - Pages: 16
...is losing out in the competition of this challenging industry. The aim of this study is to analyze why China’s medical tourism industry is not performing as well as countries such as India or Thailand, and also to provide insights on how to go about leveraging on certain medical procedures that China have a comparative advantage in performing. This study resulted in two findings. Firstly, there is a lack of hospitals with JCI accreditation which we found out was due to a lack of motivation from public hospitals to do so, and also a lack of transparency in the management of the Chinese hospitals. Secondly, we found that the three medical procedures with the biggest potential to spearhead the success of medical tourism in China are Heart Bypass Surgery, Hip Replacement Surgery and Traditional Chinese Medicine. Keywords: Medical Tourism China JCI Contents Page Chapter 1 Introduction 1 1.1 What is Medical Tourism 1 1.2 Reasons for the popularity of Medical Tourism 2 1.3 Why do patients seek care at medical tourism destinations? 4 1.3.1 Low Cost 4 1.3.2 Avoid Waiting lists 6 1.3.3 Procedure not available in home country 6 1.3.4 Procedures unavailable or restricted by society and/or legal system 7 1.3.5 Tourism and vacations 7 1.3.6 Privacy and Confidentiality 7 Chapter 2 Global Market overview of Medical Tourism Industry 8 2.1 Rise of Asian Medical Tourism demand 9 2.2 Medical Tourism Facilitator / Agents 10 2.3 International Medical...
Words: 11924 - Pages: 48
...Nurses Addressing the Obesity Epidemic Joanne Bertrand The Center for Allied Health Nursing Education Abstract The prevalence of obesity is increasing in the United States and globally. Obesity has been linked as a precursor to many diseases and conditions. It has been recognized as a risk factor to many chronic diseases and premature death. Children, especially ethnic minorities and low 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...
Words: 3194 - Pages: 13
...critical care review Transfusion-Related Acute Lung Injury* A Review Mark R. Looney, MD; Michael A. Gropper, MD, PhD, FCCP; and Michael A. Matthay, MD, FCCP Transfusion-related acute lung injury (TRALI) is an underreported complication of transfusion therapy, and it is the third most common cause of transfusion-associated death. TRALI is defined as noncardiogenic pulmonary edema temporally related to transfusion therapy. The diagnosis of TRALI relies on excluding other diagnoses such as sepsis, volume overload, and cardiogenic pulmonary edema. Supportive diagnostic evidence includes identifying neutrophil or human leukocyte antigen (HLA) antibodies in the donor or recipient plasma. All plasma-containing blood products have been implicated in TRALI, with the majority of cases linked to whole blood, packed RBCs, platelets, and fresh-frozen plasma. The pathogenesis of TRALI may be explained by a “two-hit” hypothesis, with the first “hit” being a predisposing inflammatory condition commonly present in the operating room or ICU. The second hit may involve the passive transfer of neutrophil or HLA antibodies from the donor or the transfusion of biologically active lipids from older, cellular blood products. Treatment is supportive, with a prognosis substantially better than most causes of clinical acute lung injury. (CHEST 2004; 126:249 –258) Key words: ARDS; lung injury; pulmonary edema; transfusion; transfusion-related acute lung injury Abbreviations: ALI acute lung injury;...
Words: 7507 - Pages: 31
...effects — nobody has ever reported feeling anything but pure joy after taking it.”Now at this point you're already a bit floored... Could one tiny tablet really contain so much healing potential? But then he drops the bomb... Something that changes the way you think of your health and medicine forever...He tells you that despite being completely side-effect free... And costing only $1... 6,600 peer-reviewed studies have proven its superiority over the world's leading drugs. With this mountain of research he had no choice but to share it with you — and all of his patients. In fact, double-blind, placebo controlled trials have found it... * * Kills 16-times more cancer cells than the leading chemo drug Eloxatin — without harming healthy cells (International Journal of Oncology) * * “It's 400-times more potent than the diabetes drug Metformin” — reports Auburn University researchers (Journal of Biochemical and Biophysical Research Communications) * * Performs better in memory tests than the drug Aricept (the most widely prescribed Alzheimer's drug) — Salk Institute for Biological Studies * * More effectively treats Major Depressive Disorder (MDD) than Prozac — without Prozac's devastating side effects, according to a randomized,...
Words: 5397 - Pages: 22
...by Rebecca Pistillo…….26 9. Implications for the Environment by Michael Plesnarski………………………33 10. Moral & Ethical Implications by Karen Quaderer…………………………… 39 11. Bibliography…………………………………………………………………….47 Abstract In this research paper our team will look at the use of Robotic Technology in the medical field, more specifically in the surgical field as well as discuss the issues and implications surrounding the topic. Our discussion will include topics ranging from the history and development of robots that can be found in surgical rooms, political concerns regarding the Food and Drug Administration and their requirements to approve use of these robots, the legal aspect of robotic technology on how to determine which party is held liable in case of accidents or malfunctions that can lead to injury and a legal case that shows the difficulty to prove fault against a manufacturer. Also discussed will be the economic ramifications on our society, psychological, sociological, cultural, moral and ethical impacts on human life, in particular the patients that undergo surgery involving a robotic surgical system, and the environmental impacts of robotics in surgery. It is our hope that through this research paper that we are able to explain to and educate our readers on the impacts of Robotic Surgery as this type of surgery is becoming more popular with doctors in order to...
Words: 15077 - Pages: 61
...How to go to your page This eBook set contains two volumes. The main content pages are contiguously numbered: use the Table of Contents to find those page numbers. The front matter pages and indices are labeled with the Volume number and page separated by a colon. For example, to go to page vi of Volume 1, type Vol1:vi in the “page #” box at the top of the screen and click “Go”. To go to page vi of Volume 2, type Vol2:vi in the "page #" box… and so forth. Encyclopedia of Human Body Systems This page intentionally left blank Encyclopedia of Human Body Systems VOLUME 1 Julie McDowell, Editor Copyright 2010 by ABC-CLIO, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, except for the inclusion of brief quotations in a review, without prior permission in writing from the publisher. Library of Congress Cataloging-in-Publication Data McDowell, Julie. Encyclopedia of human body systems / Julie McDowell. p. cm. Includes bibliographical references and index. ISBN 978–0–313–39175–0 (hard copy : alk. paper) 1. Human physiology—Encyclopedias. I. Title. QP11.M33 2011 612.003—dc22 2010021682 ISBN: 978–0–313–39175–0 EISBN: 978–0–313–39176–7 14 13 12 11 10 1 2 3 4 5 This book is also available on the World Wide Web as an eBook. Visit www.abc-clio.com for details. Greenwood An Imprint of ABC-CLIO, LLC ABC-CLIO, LLC...
Words: 218741 - Pages: 875
...CONTENTS Title Page.no 1. Introduction To Nanoparticles (2) 2. Nanoparticulate systems For Targeting (13) 3. Drug Targeting (25) 4. Approaches To Drug Targeting (29) 5. Nanoparticle Drug Delivery Market (47) 6. Future Barriers And Challenges (48) 7. Various Nanopharmaceuticals And Their Case Studies (49) 8. NanoDrug Patenting (54) 9. Conclusion (57) 10. Bibliography (58) NANOPARTICLES IN DRUG TARGETING 1. INTRODUCTION NANOPARTICLES * Nanoparticles are in solid state and are either in amorphous or crystalline They include Nanocapsules and Nanospheres.They are able to adsorb or encapsulate a drug thus protecting it against chemical and enzymatic degradation...
Words: 10751 - Pages: 44
...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
Words: 177674 - Pages: 711
...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
Words: 53501 - Pages: 215
...registered trademarks of Microsoft Corporation. All other trademarks and registered trademarks are the property of their respective owners and are hereby acknowledged. Do not make illegal, unauthorized copies of the PhraseBook. The PhraseBook and digital version are protected by copyright law and international treaties. The publisher and authors have striven to ensure the accuracy and correctness of the PhraseBook; however, they can accept no responsibility for any loss or inconvenience as a consequence of use, information or advice contained in the PhraseBook. PhraseBook versions ISBN 978-1-903384-02-2 paperback ISBN 978-1-903384-01-5 digital version (download) ISBN 978-1-903384-00-8 digital multiple user version (CD-ROM) for research groups, departments and universities For PhraseBooks and English books for education, visit EnglishforResearch.com ▪ EnglishforStudents.com ▪ EnglishforSchool.com End User Licence Agreement End User Licence Agreement 1. You must accept the...
Words: 48522 - Pages: 195
...Anthropology Lecture 1 introduction Common Misconceptions with Drugs . The effect of a drug is caused solely by its pharmacological properties and effects. . Some drugs are instantly addictive . The gateway/ stepping stone theory - the use of 1 drug leads to the use of other more dangerous drugs What are drugs ? Krivanek's definition : Drugs are substances that are introduced into the body knowingly but not as food. Therefore illicit drugs, legal recreational drugs and legal but regulated pharmaceutical drugs that aren't recreational at all. - Whether if a drug is considered bad and is prohibited depends on the culture of the society in a particular period. What is culture ? The definition of culture = Through Roger keesing and Andrew Strathern's definition it is a system of shared ideas, rules and meanings that underlie and are expressed in the ways that human live. - This includes : law, beliefs, political economy, media and popular culture - this perceives ideas about what is normal and abnormal to society. " Culture is always changing and contested, not unified" Enthography as a method for studying drug use It is a process of observing, recoding and describing other peoples way of life through intimate participation the community being studied". - Participation observation, involving yourself in the life of the community , taking up the life of the other person, observing their actions, asking questions and learning what questions...
Words: 21869 - Pages: 88
