scholarly journals Bariatric and metabolic surgery during the COVID-19 crisis: strategies facing two pandemics

ANALES RANM ◽  
2021 ◽  
Vol 138 (138(02)) ◽  
pp. 150-156
Author(s):  
B. Lasses Martínez ◽  
J. Dziakova ◽  
A. Torres
Keyword(s):  
Morbid Obesity ◽  
High Risk ◽  
Metabolic Surgery ◽  
Health Crisis ◽  
Surgical Interventions ◽  
Epidemiological Situation ◽  
Crisis Strategies

Since its first appearance in Wuhan at the end of 2019, the SARS-CoV-2 pandemic has brought serious repercussions worldwide, Spain being among the most affected countries. This health crisis resulted in the cancellation of surgeries pertaining to both malignant and benign pathologies, including bariatric and metabolic surgery. Patients with morbid obesity, besides their delay in surgical interventions, are at high risk of contracting severe COVID-19. For this reason, once the epidemiological situation has improved in our hospitals and the necessary resources become again available, this surgical activity should be progressively restarted. The goal of this paper is to review the published literature regarding the main perioperative recommendations concerning safe bariatric and metabolic surgery during the COVID-19 pandemic.

scholarly journals The Spread of COVID-19 in Nigeria: The Influence of Transportation and Economic Zones

2021 ◽  
pp. 27-35
Author(s):  
Nathaniel O. Ajayi ◽  
Richard O. Awonusika ◽  
Adeniyi S. Ale ◽  
Ayooluwade Ebiwonjumi
Keyword(s):  
High Risk ◽  
Large Scale ◽  
National Policy ◽  
Human Movement ◽  
Health Crisis ◽  
Spatial Spread ◽  
The Status ◽  
The Government ◽  
Novel Coronavirus ◽  
Economic Zones

The novel coronavirus (2019-nCoV) now known as Covid-19 was first detected in the city of Wuhan, China in December 2019. The disease rapidly spread to other cities in China and to other parts of the world. The aim of this study is to investigate the contribution which the economic zones and movement of people into the country and from city to city and State to State within the country have on the spread of the disease in Nigeria. Data of the daily update of Covid-19 occurrence in Nigeria as given by the NCDC Covid-19 Situation report were assembled. The data of the first index in each State between February 27 and March 28, 2020 with the status of whether they were from foreign travel or from within the community was compiled. The results show that economic zones and human movement contribute to the early spread of the disease. The initial spatial spread in Nigeria was observed to follow closely behind the test laboratory distribution pattern. This may suggest that samples from the locations far from the laboratories were not obtained, hence the suggestion for early aggressive country-wide-large scale testing to cover almost everyone should be started very early before the spread is everywhere. The test labs should cover the whole country with the tests made free and mandatory to encourage and force people to come out for it and the restriction protocols should strictly be adhered to. The boarders of the country should be closed early to stop further import of the disease from the high risk countries. When the airports are later re-opened, they should not be to the high-risk countries of the disease. There is also a need for a national policy on responding to and managing any future public health crisis such as Covid-19 pandemic before its occurrence. This policy will help the government to know what to start doing quickly when there is any occurrence. Government should also look inward to mobilize the scientists inside the country by providing research grants purposely to combat the pandemic. Such grants will enable our scientists to make their contribution in addition to the ones made by the scientists outside the country.

scholarly journals Personalized Nutrition for Management of Micronutrient Deficiency—Literature Review in Non-bariatric Populations and Possible Utility in Bariatric Cohort

2020 ◽  
Vol 30 (9) ◽  
pp. 3570-3582
Author(s):  
Shannon Galyean ◽  
Dhanashree Sawant ◽  
Andrew C. Shin
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Genetic Testing ◽  
High Risk ◽  
Genetic Variants ◽  
Micronutrient Deficiency ◽  
High Dose ◽  
Micronutrient Deficiencies ◽  
Personalized Nutrition

Abstract Background Bariatric surgery can effectively treat morbid obesity; however, micronutrient deficiencies are common despite recommendations for high-dose supplements. Genetic predisposition to deficiencies underscores necessary identification of high-risk candidates. Personalized nutrition (PN) can be a tool to manage these deficiencies. Methods Medline, PubMed, and Google Scholar were searched. Articles involving genetic testing, micronutrient metabolism, and bariatric surgery were included. Results Studies show associations between genetic variants and micronutrient metabolism. Research demonstrates genetic testing to be a predictor for outcomes among obesity and bariatric surgery populations. There is limited research in bariatric surgery and micronutrient genetic variants. Conclusion Genotype-based PN is becoming feasible to provide an effective treatment of micronutrient deficiencies associated with bariatric surgery. The role of genomic technology in micronutrient recommendations needs further investigation.

Gastric bypass for morbid obesity in high-risk cardiac patients

2005 ◽  
Vol 1 (3) ◽  
pp. 234
Author(s):  
Grady D. Alsabrook ◽  
J. Wesley Alexander ◽  
Hope R. Goodman
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
High Risk ◽  
Cardiac Patients

scholarly journals Thyroid fine-needle aspiration trends before, during, and after the lockdown: what we have learned so far from the COVID-19 pandemic

Endocrine ◽  
2020 ◽  
Author(s):  
Raffaele Palladino ◽  
Ilaria Migliatico ◽  
Roberta Sgariglia ◽  
Mariantonia Nacchio ◽  
Antonino Iaccarino ◽  
...  
Keyword(s):  
High Risk ◽  
Thyroid Nodules ◽  
Diagnostic Procedures ◽  
Needle Aspiration ◽  
Diagnostic Efficiency ◽  
Health Crisis ◽  
Thyroid Fine Needle Aspiration ◽  
Risk Patients ◽  
Diagnostic Work ◽  
The Impact

Abstract Purpose Nowadays, the clinical management of thyroid nodules needs to be multi-disciplinary. In particular, the crosstalk between endocrinologists and cytopathologists is key. When FNAs are properly requested by endocrinologists for nodules characterised by relevant clinical and ultrasound features, cytopathologists play a pivotal role in the diagnostic work-up. Conversely, improper FNA requests can lead to questionable diagnostic efficiency. Recently, recommendations to delay all non-urgent diagnostic procedures, such as thyroid FNAs, to contain the spread of COVID-19 infection, have made the interplay between endocrinologists and cytopathologists even more essential. The objective of this study was to assess the impact of COVID-19 pandemic on our practice by evaluating the total number of FNAs performed and the distribution of the Bethesda Categories before, during, and after the lockdown. Methods We analysed the FNA trends before (1st January 2019 to March 13th 2020), during (March 14th to May 15th), and after (May 16th to July 7th) the lockdown. Results Although the total number of weekly FNAs dropped from 62.1 to 23.1, our referring endocrinologists managed to prioritise patients with high-risk nodules. In fact, in the post-lockdown, the weekly proportion of benign diagnoses dropped on average by 12% and that of high-risk diagnoses increased by 6%. Conclusions The lesson we have learned so far from this pandemic is that by applying safety protocols to avoid contagion and by increasing the threshold for FNA requests for thyroid nodules, we can continue to guarantee our services to high-risk patients even in times of a health crisis.

scholarly journals Hypoadiponectinaemia and high risk of type 2 diabetes are associated with adiponectin-encoding (ACDC) gene promoter variants in morbid obesity: evidence for a role of ACDC in diabesity

Diabetologia ◽  
2005 ◽  
Vol 48 (5) ◽  
pp. 892-899 ◽  
Author(s):  
F. Vasseur ◽  
N. Helbecque ◽  
S. Lobbens ◽  
V. Vasseur-Delannoy ◽  
C. Dina ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Morbid Obesity ◽  
High Risk ◽  
Gene Promoter

scholarly journals CHARACTERISTICS OF NATURAL TICK-BORNE ENCEPHALITIS FOCI IN THE TOMSK REGION

2021 ◽  
pp. 3-11
Author(s):  
N.V. Poltoratskaya ◽  
◽  
T.N. Poltoratskaya ◽  
T.M. Pankina ◽  
M.V. Kondratyev ◽  
...  
Keyword(s):  
High Risk ◽  
Epidemiological Data ◽  
Low Risk ◽  
Infection Rates ◽  
Risk Zone ◽  
Tick Borne Encephalitis ◽  
Tomsk Region ◽  
The City ◽  
Epidemiological Situation

This paper characterizes the current epidemiological situation of tick-borne encephalitis in the Tomsk region. There has been a decrease in the incidence of TBE for 10 years. There was made an attempt to typify the epidemiological situation of tick-borne encephalitis nidus on the basis of analysis of epidemiological data of the recent years (2011-2020) in the context of administrative territories of Tomsk region. The typification of the foci of TBE was carried out in the context of the administrative territories of the region. Areas of high, medium, low risk of TBE infection are identified. The territories of the city of Tomsk and the Tomsk region, where the maximum infection rates are recorded (66-88 cases per year), are referred to the high-risk zone. Keywords: monitoring, morbidity, tick-borne encephalitis, natural focal infections, intensive indicator.

scholarly journals COMBINED ANTIVIRAL THERAPY OF HEPATITIS C ASSOCIATED WITH VIRAL HEPATITIS B AND MULTIPLE SOMATIC DISEASES IN PATIENTS WITH BURDENED ONCOLOGICAL HISTORY

2017 ◽  
Vol 22 (1) ◽  
pp. 31-35
Author(s):  
V. B Poluektova ◽  
E. V Volchkova
Keyword(s):  
Hepatitis C ◽  
High Risk ◽  
Viral Hepatitis ◽  
Antiviral Therapy ◽  
Risk Group ◽  
High Risk Group ◽  
Good Time ◽  
Surgical Interventions ◽  
Viral Hepatitis B ◽  
Somatic Diseases

Patients underwent many surgical interventions are referred to a high risk group on morbidity by viral hepatitis. Mixt replications of viruses of hepatitis В (VHB) and С occur rarely. Obstetricians and gynaecologists fail to recommend the implementation of IVF procedure for women with the burdened gynaecological history due to viral hepatitis В and С and the pronounced fibrosis of liver tissue. We showed that for such patients antiviral therapy (AVT) started in good time allows to stop the replication of virus of hepatitis C, considerably to decline the VHВ loading and diminish the activity of process of fibrogenesis that, consequently, gives a chance for performance of IVF procedure.

Sign in / Sign up

Export Citation Format

Share Document