scholarly journals Evaluation of Blood Glucose before and after Bariatric Surgery

2018 ◽  
Vol 11 (01) ◽  
pp. 030-031
Author(s):  
Ana Martins ◽  
Alexandre Oliveira
Keyword(s):  
Bariatric Surgery ◽  
Blood Glucose ◽  
Informed Consent ◽  
Financial Support ◽  
Case Reports ◽  
Relevant Literature ◽  
Ethics Committee ◽  
Health Science ◽  
Before And After ◽  
Consistent Manner

Abstract For original articles it must be prepared in a structured form containing a maximum of 250 words. It must contain: Background Specific aim Methods Results and Conclusion. For brief communications case reports and review articles the abstract must be structured and limited to 150 words. Enter the words (or keywords) using the DECS - Descriptors in Health Science Bireme http://decs.bvs.br/ available. Three key-words at least are necessary separated by commas. Do not cite references in the abstract. Text: Divide the text according to the type of article (see detailed information on the item of Content Items; no punctuation should follow their titles). The Introduction should make a brief review of relevant literature in order to demonstrate the relevance of the study. Methods must be described so that the reader understands how the search has been conducted. In human research, it is mandatory to inform the existence of informed consent and approval by the medical ethics committee. The results should be presented in a consistent manner and linked to the goals and methods described. Discussion should reiterate the main findings of the manuscript the negative aspects discuss and compare the importance and implications of the findings. The conclusion must be made so that the author refrains from interference or not deductions based on the findings of the study. In original articles the process number of the Committee or the Ethics Committee of the Institution should be informed. Any financial support for research should be disclosed.

Lithium toxicity after bariatric surgery

2017 ◽  
Vol 41 (S1) ◽  
pp. S491-S491
Author(s):  
L. De Jonge ◽  
S. Petrykiv ◽  
J. Fennema ◽  
M. Arts
Keyword(s):  
Bariatric Surgery ◽  
Drug Absorption ◽  
Case Reports ◽  
Lithium Toxicity ◽  
Vertical Sleeve Gastrectomy ◽  
Careful Monitoring ◽  
Lithium Level ◽  
Before And After ◽  
Life Threatening ◽  
Competing Interest

IntroductionBariatric surgery is globally increasingly being applied in patients with morbid obesity to achieve permanent weight reduction. More than fifty percent of these patients have a psychiatric disorder in their history and over thirty percent take psychotropic medication. The prevalence of bipolar disorder in patients who undergo bariatric surgery is around four percent, and most of them are treated with lithium.Objectives & aimsTo report and discuss the effect of bariatric surgery on changes in lithium absorption.MethodsWe present all published case studies and literature review on lithium toxicity after bariatric surgery.ResultsTo date; only two case-reports were published with dramatic changes in lithium level after vertical sleeve gastrectomy and Roux-en-Y bariatric surgery. Within a period of two to five weeks, the patients were presented to the emergency department with signs of dehydration and acute kidney failure.ConclusionClinicians should be aware of dramatic and possibly even life-threatening pharmacokinetic changes in drug absorption that may occur after bariatric surgery. Careful monitoring and even reduction of lithium dosage before and after surgery could potentially prevent serious complications.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Reporting Ethical Protections in Physical Therapy Research

2006 ◽  
Vol 86 (4) ◽  
pp. 499-509 ◽  
Author(s):  
Lesley D Henley ◽  
Denise M Frank
Keyword(s):  
Informed Consent ◽  
Physical Therapy ◽  
Vulnerable Populations ◽  
Case Reports ◽  
Editorial Policy ◽  
Ethics Committee ◽  
Research Articles ◽  
Evidence Based ◽  
Retrospective Audit ◽  
Human Participants

Abstract Background and Purpose. Efforts to make physical therapy more evidence based have increased demand for human participants, raising concerns for their safety and welfare. This study examined how often research articles in physical therapy journals report basic ethical protections. Methods. We carried out a retrospective audit of research articles in 6 physical therapy journals between 1996 and 2001. Results. Of 806 articles reviewed, 48% documented both research ethics committee approval and informed consent. Articles reporting clinical interventions had the highest reported rate (64%) of both protections. Articles reporting qualitative methods, chart reviews, and case reports had the lowest rates of documentation of both requirements: 30%, 17%, and 11%, respectively. Reported rates of both requirements in vulnerable populations were 55% for children, 48% for students, and 33% for employees. Twenty-six percent of articles included confidentiality assurances. Case reports were most likely and chart reviews were least likely to mention confidentiality: 88% and 8%, respectively. Discussion and Conclusion. There is no uniform editorial policy among physical therapy journals for reporting basic ethical requirements. Physical therapy journals should standardize ethical protections and make documentation of compliance a prerequisite of publication. [Henley LD, Frank DM. Reporting ethical protections in physical therapy research.

scholarly journals Cirurgia bariátrica: o enfrentamento pós procedimento

Bionorte ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 65-73
Author(s):  
Maurício de Jesus Chaves ◽  
Terezinha Barbosa Gonçalves Araujo ◽  
Alyne Amaral Santos ◽  
Emylle Cristine Alves Veloso ◽  
Bruna Roberta Meira Rios ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Social Impact ◽  
Self Esteem ◽  
Ethics Committee ◽  
Observational Research ◽  
Methodological Framework ◽  
Before And After ◽  
Great Relevance ◽  
Physical Impact ◽  
The City

Objectives: to understand the perception of patients who underwent bariatric surgery and their ability to cope with their new (metabolic and bodily) reality; to identify the physical impact on their routine; and to analyze their body image and view of the changes in their lifestyle before and after surgery. Materials and methods: this is a qualitative, observational research with a theoretical methodological framework based on phenomenology and discourse analysis, carried out in the city of Montes Claros / MG with six people who underwent bariatric surgery, selected by means of the snowball technique, and here identified by pseudonyms. This research was approved by the Research Ethics Committee under the number 3.141.480. Results: the analysis of the reports during the interviews revealed that, before undergoing bariatric surgery,these people suffered comorbidities due to being overweight. In the perception of the interviewees, bringing relief and greater satisfaction as results and being causally linked to affective and psychosocial coexistence are the most relevant reasons for the surgical procedure. Closing remarks: bariatric surgery is of great relevance for the interviewees, improving their self-esteem and confidence, causing a positive physical, emotional, and social impact.

scholarly journals Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?

2020 ◽  
Vol 17 ◽  
pp. 18
Author(s):  
Nicholas Sevey ◽  
Michelle Barratt ◽  
Emma Omoruyi
Keyword(s):  
Informed Consent ◽  
Communication Skills ◽  
Health Science ◽  
Science Center ◽  
University Of Texas ◽  
Professional Activities ◽  
Before And After ◽  
Texas Health ◽  
Proficiency Scores ◽  
The University

Purpose: According to the entrustable professional activities (EPA) for entering residency by the Association of American Medical Colleges, incoming residents are expected to independently obtain informed consent for procedures they are likely to perform. This requires residents to not only inform their patients but to ensure comprehension of that information. We assessed the communication skills demonstrated by 372 incoming pediatric interns between 2007 and 2018 at the University of Texas Health Science Center at Houston, obtaining informed consent for a lumbar puncture.Methods: During a simulated case in which interns were tasked with obtaining informed consent for a lumbar puncture, a standardized patient evaluated interns by rating 7 communication-based survey items using 5-point Likert scale from “poor” to “excellent.” We then converted the scale to a numerical system and calculated intern proficiency scores (sum of ratings for each resident) and average item performance (average item rating across all interns).Results: Interns received an average rating of 21.6 per 28 maximum score, of which 227 interns (61.0%) achieved proficiency by scoring 21 or better. Notable differences were observed when comparing groups before and after EPA implementation (76.97% vs. 47.0% proficient, respectively). Item-level analysis showed that interns struggled most to conduct the encounter in a warm and friendly manner and encourage patients to ask questions (average ratings of 2.97/4 and 2.98/4, respectively). Interns excelled at treating the patient with respect and actively listening to questions (average ratings of 3.16, each). Both average intern proficiency scores and each average item ratings were significantly lower following EPA implementation (P<0.001).Conclusion: Interns demonstrated moderate proficiency in communicating informed consent, though clear opportunities for improvement exist such as demonstrating warmth and encouraging questions.

S117 – Gastropharyngeal Reflux and Eustachian Tube Dysfunction

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P116-P116
Author(s):  
Elias Georges Eter ◽  
Nayla E Matar ◽  
Amine C Haddad
Keyword(s):  
Informed Consent ◽  
Eustachian Tube ◽  
Ethics Committee ◽  
Eustachian Tube Dysfunction ◽  
Therapeutic Trial ◽  
Once Daily ◽  
Before And After ◽  
Tube Dysfunction ◽  
Numeric Scale ◽  
Self Administered Questionnaire

Objectives Determine the response of gastropharyngeal reflux (GPR) in the pathogenesis of Eustachian tube dysfunction (ETD) in adults, using a therapeutic trial. Methods 18 adult outpatients with symptoms of ETD (associated or not to GPR symptoms) were randomized into two groups: The first group received nasal corticosteroids and Rabeprazole 20mg once daily for 6 weeks. The second group received nasal corticosteroids and placebo for 6 weeks. Symptoms’ severity was evaluated before and after treatment by a tympanometry and a self-administered questionnaire of 7 items focusing on the severity of ETD. Each of the items was scored on a numeric scale. The local ethics committee approval was obtained and patients signed an informed consent before their participation in the study that was conducted between November 2002 and May 2003. Results 8 patients were on Rabeprazole, 10 were on placebo. Patients in the 2 groups were comparable for all the variables except for the severity of symptoms. On enrollment, patients under Rabeprazole had more severe symptoms than those under placebo (SR = 12.4, SP = 7.15 with p = 0.035). At the end of the trial, the improvement of the symptom score under Rabeprazole was significantly higher than that of patients under placebo, using the Mann Whitney test (SR’ = 6.13, SP’ = 11.56 with p = 0.026). Conclusions By showing a significant improvement of ETD symptoms in patients under Rabeprazole compared to controls, this study suggests the response of GPR in the pathogenesis of ETD, but larger studies are needed.

POSTOPERATIVE COMPLIANCE OF BARIATRIC SURGERY PATIENTS REGARDING THE ASSESSMENT OF SERUM LEPTIN LEVELS AND INSULIN RESISTANCE

2019 ◽  
Vol 49 (1/2019) ◽  
Keyword(s):  
Insulin Resistance ◽  
Bariatric Surgery ◽  
Serum Levels ◽  
Medical Laboratory ◽  
Leptin Resistance ◽  
Obese Patients ◽  
Laboratory Assessment ◽  
Serum Leptin ◽  
Before And After ◽  
Bariatric Patients

Background and aims: Overweight and obese patients who undergo bariatric surgery require a rigorous clinical and paraclinical assessment both before and after the surgery at 3, 6, and 12 months.The present study aims the assessment of serum leptin levels and insulin resistance status in compliant bariatric patients to scheduled medical laboratory assessment at 6 months after surgery. Material and Method: The study included 109 eligible patients selected for bariatric surgery, 48 of whom attended the scheduled visit at 6 months after the surgery. Laboratory assessing regarded the insulin resistance by determining before meal the serum levels of leptin, glucose and insulin, as well as HOMA 1 and HOMA 2 indexes. Results: Patients who underwent bariatric treatment experienced a significant decrease in insulin resistance status. A higher percentage in the preoperative group was recorded in women, feature which was also recorded in the postoperative group that attended the scheduled visit at 6 months after surgery. Age is also an important factor that significantly influences the behavioral adherence to postoperative visits. Conclusions: Insulin resistance status improved significantly in 6 months after bariatric surgery among the fully compliant patients. The percentage of attendance at scheduled visits is higher among women, and decreases with age. Keywords: obesity surgery, leptin resistance, insulin resistance, HOMA index, compliance

1729-P: Insulin Resistance Cutoff for High Probability of Blood Glucose Normalization in T2DM Patients with Obesity after Bariatric Surgery

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1729-P
Author(s):  
IGOR SKLYANIK ◽  
EKATERINA SHESTAKOVA ◽  
IURII STAFEEV ◽  
SVETLANA MICHURINA ◽  
ANDREY KARMADONOV ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Bariatric Surgery ◽  
Blood Glucose ◽  
High Probability

Study of Diabetic Mellitus and Knowledge of Lotion Foot Care on the Community

2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Hariyadi DM ◽  
Athiyah U ◽  
Hendradi E ◽  
Rosita N ◽  
Erawati T ◽  
...  
Keyword(s):  
Blood Glucose ◽  
T Test ◽  
Small Scale ◽  
Scale Production ◽  
Foot Care ◽  
Diabetic Mellitus ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Before And After ◽  
History Of

The prevention of Diabetic Mellitus (DM) and its complications is the main aim of this study, in addition to the training of lotion foot care application and the development of small scale industry. The research team delivered knowledge in the form of training on Diabetic Mellitus, healthy food, treatment and prevention of complications, and small-scale production of cosmetic products. The aim of this study was to determine the correlation between training on diabetic and lotion foot care application as preventive measures against diabetic complications on the patient's blood glucose levels in the community of residents in Banyuurip Jaya, Surabaya. It was expected from this training that the knowledge of the residents increases and people living with diabetic undergo lifestyle changes and therefore blood sugar levels can be controlled. The parameters measured in this research were blood glucose levels, the anti diabetic drug types consumed, and compliance on diabetics. This study used the data taken from 60 patients with DM over a period of one month. Questionnaires and log books was used to retrieve data and changes in blood glucose levels in diabetic patients. The results showed the demographic data of patients with type 2 diabetic of 85% female and 15% male, with the range of patients aged of 61-70 years of 46.67% and had history of diabetic (90%). The history of drugs consumed by respondents was anti diabetic drugs such as metformin (40%), glimepiride (33.37%) and insulin (6.67%). In addition, the increased knowledge of DM patients after being given the training compared to before training was shown in several questions in the questionnaire. A statistical analysis using t-test analyzed a correlation between training provided in order to enhance understanding of the patient, as well as correlation with blood glucose levels. A paired T-test showed that there was a relationship between the knowledge of trainees before and after training (p less than 0.05). An interesting result was that there was no relationship between blood glucose levels before and after training provided (p> 0.05).

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