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Context 1
... a bariatric surgery, in several cases, we are called upon to perform the surgical healing of hernias and eviscerations, in order to allow the accomplishment of the restrictive surgery later (Figure 3 and Figure 4). ...
Context 2
... selected 10 patients, 4 men and 6 women, where we noticed the difficulty in identifying them in the first observation, as they are similar except for the beard and the amount of body hair (Figure 1). In men, we identified more hernias and eviscerations in the abdominal part (Figure 3) than in women. In contrast, in women, we identified breast gigantism in 80% of them (Figure 2) or breast ptosis without conditions for conventional mammoplasty, when we use the Resende ...
Citations
... e occurrence has an important relationship, leading to the high incidence of various diseases and shortening human lifespan [7]. Obesity is spreading globally like an epidemic, not only in developed countries such as European countries, the United States, Australia, and other countries have high and rising obesity rates, but the situation in developing countries is even more serious [8]. For example, according to World Health Organization standards, some adult Polynesians in Samoa are obese. ...
With the rapid development of my country’s economy, the rapid improvement of national living standards, the introduction of western fast food culture, and the modern lifestyle, the detection rate of obese patients in my country has increased year by year. Obesity has gradually become an important issue of social concern, especially among students, obesity is very common, seriously affecting the physical and mental health of students, and laying a hidden danger for the development of society. As an effective method, physical exercise has an important impact on the physical and mental health of obese students and has become an important way to solve the obesity problem. On the basis of a large number of literature research, this paper adopts a variety of research methods such as questionnaire survey, expert consultation, mathematical statistics and comparative analysis, and logical analysis. The current situation of extracurricular physical exercise has been investigated in detail, and after data analysis, it is found that obesity has a great negative impact on all aspects of college freshmen. The results of the study showed that the obese college students in Suzhou had a low level of physical health. The average scores of the “National Student Physical Health Standards” for boys and girls were 58.50 and 60.49, respectively, and the failure rates were 48.24% and 43.55%, respectively. Compared with the average level of college students in the whole country, the height, weight, and vital capacity of obese students in Suzhou are higher than the national level, while the vital capacity index is far lower than the national level, and there are significant differences in physical fitness items (obese girls 800 meters), standing long jump, sit-ups are higher than the national level, and there are significant differences; obese boys 1000 meters, sitting forward flexion are lower than the national level, there is a significant difference, while the standing long jump performance is slightly higher than the national level). In terms of mental health, the detection rate of various mild mental health problems among obese college students in Suzhou is as high as 44.56%, and the detection rate of various moderate mental health problems also reaches 9.69%. Compared with the national youth norm, obese college students are prone to psychological problems such as somatization, obsessive-compulsive symptoms, anxiety, terror, psychosis, hostility, and paranoia.
... Morbidly obese patients are at risk of death from diabetes, hypertension, and cardiovascular disease. Also, due to excess body weight, morbidly obese individuals usually suffer from physical, social, and psychological disabilities [2]. ...
Bariatric surgery (BS) is the most effective therapy for morbid obesity. Cortisol and DHEA are steroid hormones with opposing effects, thus using Cortisol/DHEA ratio (C/D) rather than the use of either hormone alone has been found to predict health outcomes more reliably. It was interesting to study C/D as an indicator of favorable metabolic and cardiovascular outcomes after BS.
To assess C/D in morbidly obese patients before and after BS in relation to metabolic parameters and cardiovascular performance.
Forty morbidly obese patients were followed prospectively for 1 year after BS. Fasting blood glucose (FBG), fasting insulin (FI), C/D, lipid profile, high-sensitive CRP (hs-CRP), and echocardiography were done before BS and at 3 months and 1 year post BS.
A total of 40 morbidly obese patients undergone sleeve gastrectomy. Blood pressure, FBG, FI, hs-CRP, C/D were significantly decreased after BS (p < 0.001). At 1 year post BS; significant reduction in left ventricular posterior wall thickness (LVPW) (p < 0.001), left ventricular mass (LVM) (p = 0.003), relative wall thickness (RWT) (p < 0.001) with a significant improvement in early diastolic velocity (E) (p < 0.001), early diastolic velocity/late diastolic velocity (E/A) (p = 0.01). After BS; C/D significantly positively correlated with FBG (p = 0.019), hs-CRP (p = 0.008), interventricular septum thickness (IVS) (p = 0.028), LVPW (p = 0.028), relative wall thickness (RWT) (p = 0.022), early diastolic velocity /early diastolic velocity (E′) measured by pulsed tissue Doppler imaging (E/E′) (p = 0.001), and significantly negatively correlated with E′ (p = 0.032). C/D was the single significant independent variable affecting E′ and E/E′ post BS.
C/D can be used as a surrogate marker of the improved FBG and the resolution of inflammation post BS. C/D is an independent predictor of diastolic function improvement post BS.
