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These guidelines make recommendations regarding the management of individuals with a body mass index greater than 25.0 kg/m2 and cover all age groups, from children to the elderly, as well as various patient subsets. A range of measures to yield health benefits are set out, including healthy eating plans, increased physical activity, and behavioral modifications to help patients to manage obesity. In addition, recommendations are made on the use of bariatric surgery and the new antiobesity drugs. Throughout the process of developing the recommendations, every attempt was made to ensure use of a rigorous, evidence-based approach. The guidelines are promoted by the Italian Society of Obesity (SIO) and were formulated in compliance with a prespecified process overseen by a steering committee. They are intended for use by a wide range of clinicians, including general practitioners, primary health care nurses, and primary health care professionals, and will hopefully prove of value in combating the obesity epidemic not only in Italy but across Europe and elsewhere in the world.
This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes (“diabetes surgery”) is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.
Apa yang membedakan pasien kaya dan pasien miskin? Bukan hanya uang, bukan hanya pelayanan atau kualitas ruangan. Bukan hanya satu kehilangan nyawa, dan yang lain hanya kehilangan uang. Yang membedakan pasien kaya dan miskin adalah informasi. Buku ini merupakan upaya menyembingkan ketimpangan informasi antara pasien miskin dan pasien kaya. Bila harta anda di atas 2 Milyar rupiah, kemungkinan buku ini bukan untuk anda. Buku ini adalah bagi kaum yang mengandalakan bila masuk rumah sakit, keluar tidak bayar, entah keluar lewat kamar jenasah atau keluar lewat UGD untuk wafat dan cacat di rumah. Bapak JS tidak peduli! Karena kalau amu wafat, pemakaman keluarga yang bayar. Kalau kamu cacat, yang rawat kelaurga. Kalau sakitmu tidak kunjung sembuh, yang dipecat kamu. Selama klaim lanjar dan tidak viral, program sukses! Kecuali, kamu punya infomrasi kedokteran yang berimbang dan sedikit akal sehat.
Diagnosing a genetic skin disease can sometimes be a difficult task for a dermatologist. This is especially true for genodermatoses-generally considered rare diseases seldom seen by practicing clinicians. As a result, professionals often have little experience with their diagnosis. The Atlas of Genodermatoses presents a unique collection of such ca
Stai provando, da ieri, o da tutta la vita, a controllare quello che mangi. Rinunci al piacere di un dolce per non "esagerare", e quando "cedi alla tentazione" arriva prontamente il senso di colpa. Vorresti che il tuo corpo fosse diverso, di poco o di molti chili, perché non ti sembra adeguato, o perché senti di dover proprio perdere peso per ragioni di salute. Metterti a dieta sembra l'unica soluzione per migliorare, ma non ne puoi più dello stress, delle rinunce e dei fallimenti. E se non fossi tu a fallire, ma le diete a non funzionare? Se ci fosse un'altra strada, opposta al controllo, che porta dritta verso il benessere? In Basta Diete! Veronica Bignetti - pioniera in Italia dell'ali...
Una guía esclarecedora para mantener a raya la glucosa, prevenir alteraciones metabólicas -como la resistencia a la insulina o la diabetes tipo 2- y mejorar tu composición corporal. ¿La glucosa y la insulina están en el organismo con la única misión de hacernos daño? ¿Son los carbohidratos y el azúcar los culpables de que engordemos o enfermemos? ¿Los picos de glucosa son realmente tan perjudiciales como nos cuentan? Seguro que alguna vez te has hecho estas preguntas. La alteración crónica de la glucosa en sangre es la base de muchas de las enfermedades de hoy en día, pero la mayoría de la población no conoce los efectos que tiene en el organismo. En su nuevo libro, Ismael Ga...
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