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Статті в журналах з теми "Weight-management therapy"
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Andersen, Ross E., and John M. Jakicic. "Physical Activity and Weight Management." Physician and Sportsmedicine 31, no. 11 (November 2003): 39–45. http://dx.doi.org/10.3810/psm.2003.11.557.
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Gibbs, Aimee E., Joel Pickerman, and Jon K. Sekiya. "Weight Management in Amateur Wrestling." Sports Health: A Multidisciplinary Approach 1, no. 3 (May 2009): 227–30. http://dx.doi.org/10.1177/1941738109334276.
Повний текст джерелаАнотація:
Context: Unhealthy weight loss practices continue to plague amateur wrestling. The National Collegiate Athletic Association weight loss guidelines are beneficial but have not solved the problem. Evidence Acquisition: All relevant databases through 2008 were searched using PubMed. The references of relevant articles were then searched for additional publications. Study Type: Clinical review. Results: New rules approved by the National Collegiate Athletic Association have been implemented in an attempt to prevent drastic weight loss practices in wrestlers. Although some are effective, such as establishing a minimum wrestling weight and decreasing the period between weigh-ins and actual wrestling, unsafe weight loss practices still occur. Conclusion: The attempts made by the National Collegiate Athletic Association to prevent drastic weight loss in wrestling have been effective to some degree. The mind-set of athletes, coaches, and clinicians needs to change if further improvements are to be made.
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Stewart, Elizabeth E., Katrina D. Dubose, Bryan K. Smith, and Joseph E. Donnelly. "Weight Management Strategies of Successful Weight Maintainers Subsequent to Clinically Relevant Weight Loss." Medicine & Science in Sports & Exercise 38, Supplement (May 2006): S177. http://dx.doi.org/10.1249/00005768-200605001-01678.
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Donnelly, Joseph E. "Keynote-Energy Balance and Weight Management." Medicine & Science in Sports & Exercise 39, Supplement (May 2007): 68. http://dx.doi.org/10.1249/01.mss.0000272815.95952.38.
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Szabo, Amanda N., Stephen D. Herrmann, Jaehoon Lee, Jaehoon Lee, and Joseph E. Donnelly. "The Future Of Weight Management Interventions." Medicine & Science in Sports & Exercise 46 (May 2014): 492. http://dx.doi.org/10.1249/01.mss.0000494940.72176.f4.
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Ellison, Mark. "Weight Management In Elite Amateur Boxers." Medicine & Science in Sports & Exercise 43, Suppl 1 (May 2011): 12–13. http://dx.doi.org/10.1249/01.mss.0000402705.06484.b3.
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&NA;. "Free Communication/Poster - Exercise and Weight Management." Medicine & Science in Sports & Exercise 40, Supplement (May 2008): 52. http://dx.doi.org/10.1249/01.mss.0000321087.90350.83.
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&NA;. "ADA Pocket Guide to Pediatric Weight Management." Medicine & Science in Sports & Exercise 43, no. 10 (October 2011): 2015. http://dx.doi.org/10.1249/01.mss.0000405956.84018.e7.
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Lombardi, Gina, and Jim Starr. "The Theory of Thermogenesis and Weight Management." Strength and Conditioning Journal 21, no. 3 (June 1999): 64. http://dx.doi.org/10.1519/00126548-199906000-00016.
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Kincaid, Anthony E. "Cancer Prevention and Management Through Exercise and Weight Control." Physical Therapy 87, no. 5 (May 1, 2007): 615. http://dx.doi.org/10.2522/ptj.2007.87.5.615.
Повний текст джерелаДисертації з теми "Weight-management therapy"
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Kerr, Gayle. "Examination of three different dietary approaches to weight management and glycaemic control in clients with non-insulin dependent diabetes mellitus." Thesis, Queensland University of Technology, 1998.
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It is accepted that both heredity and nutritional factors, in particular obesity, are important in the development of non-insulin-dependent diabetes mellitus (NIDDM). It has been suggested that not only obesity but the distribution of fat may be an important factor with fat deposited in the abdominal region resulting in greater degrees of hyperinsulinaemia and peripheral insulin insensitivity, and a reduction in maximal insulin responsiveness. Weight control is usually recommended as first line therapy in improving glycaernic control in subjects with NIDDM. However, control of weight and blood glucose levels in an ad libitum eating environment requires discipline which many find
difficult. This study was undertaken to determine if the clinical benefits (weight management and glycaernic control) differed when two 12 week dietary intervention strategies were used (intermittent energy restriction using ModifastR and preportioned meals) compared with those obtained using current standard advice for people with NIDDM. The psychosocial and personality factors of subjects were also examined to determine if certain personality factors influence success or failure for particular dietary approaches. Fifty seven male subjects with NIDDM, aged less than 70 years with a body mass
index 26-38 kg/m2 were included. Subjects were reviewed fortnightly for the 12 weeks of the study and telephone contact was maintained on the alternate weeks to
record dietary intake. Data collection and intervention strategies were divided into two phases. Phase I (two weeks) included counselling on a 6000-7000 kJ, high
carbohydrate (50% of energy), moderate fat (30% of energy) diet. Anthropometric and biochemical data were collected together with demographic, food habits and
knowledge, food attitudes, usual dietary intake via a 24 hour dietary recall and stage of change data. In Phase II (12 weeks) subjects were randomised to one of the three dietary treatment strategies - intermittent energy restriction (including ModifastR for
four days out of seven); preportioned meals (consisting of 6000-7000 k.J, 30% of
energy from fat and 50% of energy from carbohydrate) and the control group (based on 6000-7000 kJ, 30% of energy from fat and 50% of energy from carbohydrate). The
effects of these three dietary strategies were compared on the basis of glycaemic control, weight status and body fat (visceral fat). This study demonstrated that each of the dietary intervention strategies employed
resulted in weight reduction and improvements in glycaemic control although not at a statistically significant level. It can therefore be concluded that the use of
preportioned meals, ModifastR or self-prepared meals following standard
recommendations for diabetes could be used to bring about weight reduction and improvements in glycaemic control. However, the use of the preportioned meals offers the advantage of acting as a form of nutrition education, lacking with the other strategies used in the study.
Although these dietary strategies differed greatly in the dietary principles underlying their approach, each strategy involved intensive dietetic input and support, If resources are available, programs designed with regular dietetic input would be
recommended.
This study was not able to identify individual characteristics such as stage of change,
locus of control or any demographic data that could be used to predict success or failure for particular dietary intervention strategies. Therefore it was not possible to
develop a screening tool using individual characteristics to assist in determining the most appropriate dietary intervention strategy to employ. Current work patterns and lifestyle were identified as being the more commonly experienced barrier to making dietary changes although not at a statistically significant level. This barrier has implications for service delivery in terms of the most effective dietary intervention to bring about the most significant and long term weight reduction.
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Brennan, Leah, and leah brennan@rmit edu au. "Cognitive behavioural evaluation and treatment of adolescent overweight and obesity." RMIT University. Health Sciences, 2006. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080130.141227.
Повний текст джерелаАнотація:
Despite increasing prevalence, significant negative biopsychosocial consequences, and few treatment options, overweight and obesity in adolescence has received very little attention in the scientific literature. The major objective of this research program was to evaluate the efficacy of a cognitive behavioural (CBT) program in the treatment of adolescent overweight and obesity. Sixty three overweight or obese adolescents (28M, 35F) aged 11.5 to 18.9 years (M = 14.41, SD = 1.85) participated in a randomized controlled trial evaluating the efficacy of a CBT weight loss intervention. This comprehensive intervention program incorporated a range of CBT techniques aimed at assisting adolescents to establish and maintain healthy eating and physical activity habits. Treatment resulted in improved body composition post treatment and sustained or improved body composition following maintenance. Participation in a motivational interview (MI) prior to this CBT intervention did not influence treatment outcomes. Despite reductions in weight and body fat, lean body mass was not affected by the intervention, thus, treatment did not detrimentally effect linear growth and lean body tissue. Poor compliance with measurement protocols limits conclusions that can be drawn regarding the impact of treatment on eating and activity habits. However, results suggest that treatment resulted in a reduction in fat consumption, reduced saturated fat intake, and reduced time spent in sedentary activities. Increases in physical activity were not evident. The treatment seeking sample did not report elevated psychopathology levels and treatment did not impact on adolescent depression, anxiety, or stress. Adolescents receiving treatment reported improvements in disordered eating relative to those in the control condition. A secondary aim of this research program was to redress the limited information available on the behavioural and psychosocial factors associated with adolescent overweight and obesit y. These factors were explored in community samples of adolescents (n = 161, M = 16.3, SD = I .8) and their parents, and young adults (n = 292, M = 19.7, SD = 2.0). In comparison to both normal and overweight adolescents, treatment seeking adolescents reported greater body dissatisfaction and weight. discontent. Body weight was not associated with psychopathology in the community samples and treatment seeking adolescents did not differ from normal or overweight adolescents from the community sample in terms of psychopathology. However, young adults who reported being overweight during childhood reported greater psychopathology as young adults. These findings suggest that excess weight in adolescence may have longer term rather than immediate effects on psychopathology. A number of family factors were associated with body weight in both adolescents and young adults. Combined, results indicated that CBT is efficacious in the treatment of overweight and obesity in adolescents and MI does not improve the efficac y of CBT. The current findings suggest that the impact of excess weight on psychosocial functioning is limited to body discontent and dissatisfaction in adolescence but is associated with increased psychopathology in early adulthood. Results also highlighted the importance of parents and family in the treatment of overweight and obesity in adolescents.
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Haynam, Marcy. "Feasibility and Preliminary Efficacy of a Community-Based, Lifestyle Intervention on Select Body Composition, Functional, and Quality of Life Outcomes Among Breast Cancer Survivors." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586781204477491.
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Chislett, Wai-Kwan. "Perceptions of health professionals and parents of children undergoing weight-management therapy: childhood obesity management, treatment and policy implications." Thesis, 2019. https://vuir.vu.edu.au/40724/.
Повний текст джерелаАнотація:
Background: Childhood obesity is a global phenomenon and public health problem. It is a chronic health condition associated with a body composition of excessive fat impacting on a child’s physical and social development.
Public health initiatives addressing childhood obesity have had little success in reducing the prevalence of obesity or of returning children to a ‘normal’ BMI. Clinical guidelines recommend that health professionals from primary, secondary and tertiary settings should manage paediatric obesity. However, little is known about the current landscape of childhood obesity management: who is involved, what approaches are used, or what the main enablers or barriers to effective management are. Research has focused on the perceptions and practices of Australian general practitioners, but little is known about the experiences of other health professionals who manage childhood obesity.
The purpose of the study was to explore and describe how Australian health professionals and parents experience and perceive childhood obesity management. The aim was to access information that related particularly to facilitators and barriers of management.
Methods: Interpretative phenomenological analysis was used as an approach to examine and describe factors that influenced the ways in which health professionals and parents experienced and perceived the phenomenon of childhood obesity management. Semi- structured interviews were undertaken with health professionals and parents. The research comprised two studies.
Study 1 involved health professionals from private practice, weight-management clinics, hospital and community services in three Australian states. Participants were dietitians, paediatricians, psychologists, physiotherapists and endocrinologists.
Study 2 presents four case studies of parents who had attended a paediatric weight management clinic.
Findings: Health professionals described childhood obesity as a body size that put children at risk of poor health outcomes; the psychological impacts were particularly of concern. They discussed their perceptions of their role in diagnosis, assessment and treatment; and shared their experiences of carrying out these roles. Each perceived role was described in the context of barriers that presented both internal and external to the clinical management setting. This included a paucity of services to refer children with obesity, insufficient resources to support treatment and their inadequate knowledge/training to engage families and effectively implement prescribed changes to health behaviours. Furthermore, health professionals believed changes made during clinical interventions were unsustainable because of the impact of the wider environment, particularly ease of access to calorie-dense foods, sedentary activities and family circumstances.
The implications of the obstacles health professionals faced in treating childhood obesity were evident in parents’ interviews. Parents reported: difficulties accessing services due to limited availability and work hours; problems getting the whole family to attend sessions; resistance from other family members, including the children themselves. They believed health professionals played an integral role in gaining the entire family’s support. Parents wanted better strategies that would help their family more readily accept changes; however, they also acknowledged ensuring every meal for children was healthy was difficult due to the impact of an obesogenic environment. Ultimately, parents felt more in control of their family environment but were not confident these changes could be sustained, particularly when children were out of their direct care.
Conclusion: Childhood obesity management may benefit from a systems approach. This includes having a health infrastructure and training that supports the practices of health professionals so that optimal management can be achieved. Additionally, policies that address the environmental and social determinants of childhood obesity are required to support sustainable behaviour change initiated by clinical management.
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"Weight management in Hong Kong Chinese adults." 2004. http://library.cuhk.edu.hk/record=b6073699.
Повний текст джерелаАнотація:
Sea Man Mei."September 2004."
Thesis (Ph.D.)--Chinese University of Hong Kong, 2004.
Includes bibliographical references (p. 194-218).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. Ann Arbor, MI : ProQuest dissertations and theses, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Mode of access: World Wide Web.
Abstracts in English and Chinese.
Книги з теми "Weight-management therapy"
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Lean, Michael E. J. Clinical handbook of weight management. London: Martin Dunitz, Ltd., distributed in the USA, Canada and Brazil by Blackwell Science, 1988.
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Pearson, Dympna. Weight management: A practitioner's guide. Chichester, West Sussex: Wiley-Blackwell, 2012.
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Mullen, Mary Catherine. ADA pocket guide to pediatric weight management. Chicago: American Dietetic Association, 2010.
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Ellen, Shield Jo, and American Dietetic Association, eds. ADA pocket guide to pediatric weight management. Chicago: American Dietetic Association, 2010.
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Mullen, Mary Catherine. ADA pocket guide to pediatric weight management. [Chicago]: American Dietetic Association, 2010.
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Towell, Todd L. Practical weight management in dogs and cats. Chichester, West Sussex, UK: Wiley-Blackwell, 2011.
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Annette, Maggi, ed. Weight management for type II diabetes: An action plan. Minneapolis, MN: Chronimed, 1997.
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Laliberte, Michele. The cognitive behavioral workbook for weight management: A step-by-step program. Oakland, CA: New Harbinger Publications, 2009.
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D, Brownell Kelly, and LEARN Education Center, eds. The LEARN program for weight management 2000: Lifestyle, exercise, attitudes, relationships, nutrition. Dallas, Tex: American Health Pub. Co., 2000.
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Laliberte, Michele. The cognitive behavioral workbook for weight management: A step-by-step program. Oakland, CA: New Harbinger Publications, 2009.
Знайти повний текст джерелаЧастини книг з теми "Weight-management therapy"
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Isaacs, Scott D. "Medical Nutrition Therapy for Weight Management." In Bariatric Endocrinology, 361–77. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-95655-8_19.
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Patterson, Nona L. "Cognitive therapy groups for weight management." In Earning a living outside of managed mental health care: 50 ways to expand your practice., 75–77. Washington: American Psychological Association, 2010. http://dx.doi.org/10.1037/12138-014.
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Elhag, Wahiba, and Walid El Ansari. "Medical Weight Management: A Multidisciplinary Approach." In Weight Management - Challenges and Opportunities [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.105475.
Повний текст джерелаАнотація:
A wide and interacting range of individual, environmental and socioeconomic factors contribute to obesity. As a consequence, weight management strategies almost always comprise a mixture of several parallel approaches, each with its challenges and unique goals. Broadly, weight management strategies comprise of two main strands. The non-pharmacotherapy approach includes various lifestyle modifications in terms of dietary therapy, exercise, and behavioral modifications, including the prevention of possible relapses. Pharmacotherapy, on the other hand, involves several anti-obesity medications, employed as single or combination therapy. Generally, the goals of weight management should be realistic and individualized to patient’s experiences, abilities, and risks in order to maximize the likelihood of success. This chapter tackles these weight management strategies in turn, explaining each, as well as highlighting their distinctive features and challenges, effectiveness and safety, requisites, and where appropriate, indications and contraindications.
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Lillis, Jason, and Dayna Lee-Baggley. "Health Promotion and Weight Management for Obesity." In The Oxford Handbook of Acceptance and Commitment Therapy, C18.P1—C18.S11. Oxford University Press, 2022. http://dx.doi.org/10.1093/oxfordhb/9780197550076.013.18.
Повний текст джерелаАнотація:
Abstract Obesity is prevalent and carries substantial individual and societal-level consequences, including increased mortality and high health care costs. Obesity is best viewed as a chronic disease that requires both individual and system-level interventions that take into account a multitude of contributing factors. Acceptance and commitment therapy (ACT) principles and strategies can play a role in the treatment of individuals with obesity primarily by addressing barriers to healthy behavior change by teaching values, acceptance, defusion, and mindfulness skills. Interventions incorporating these ACT methods have shown improved obesity management outcomes relative to current gold standard behavioral treatments, and ACT can be considered evidence for use in this area. However, behavioral treatments in general are limited in terms of reach and effectiveness, and system- and environmental-level interventions will be required to meaningfully address obesity worldwide. Future research on ACT and other contextual therapeutic approaches should focus on addressing these system-level factors in order to support already well-developed individual-level interventions.
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Sanousi, Heba Abdulkarim, and Almoutaz Hashim. "The Positive Impact of Weight Management on Liver Cirrhosis." In Cases on Medical Nutrition Therapy for Gastrointestinal Disorders, 202–21. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3802-9.ch010.
Повний текст джерелаАнотація:
Weight management offers patients with liver cirrhosis significant health benefits. This case study describes the treatment of liver cirrhosis through dietary interventions. A 48-year-old male presented at Doctor Soliman Fakeeh Hospital in Saudi Arabia, Jeddah. The patient was suffering from morbid obesity (BMI= 43.76 kg/m2), non-alcoholic steatohepatitis, and chronic hepatitis B viral infection. Sleeve gastrectomy surgery was not possible due to the patient having liver fibrosis (stage 4). Alternatively, he was offered a healthy lifestyle intervention involving advisement regarding dietary habits and the initiation of a regular exercise routine. FibroScan was repeated seven months after the dietary intervention, where it was observed that the liver fibrosis improved from stage 4 to stage 3 post-treatment. Additionally, the patient lost almost 29% of his original body weight. In this case, weight management through following a healthy, balanced diet and increasing physical activity for one year produced remarkable improvement in the patient's liver cirrhosis related to non-alcoholic steatohepatitis.
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Becker, Richard C., and Frederick A. Spencer. "Fibrinolytic Agents." In Fibrinolytic and Antithrombotic Therapy. Oxford University Press, 2006. http://dx.doi.org/10.1093/oso/9780195155648.003.0041.
Повний текст джерелаАнотація:
The generation of plasmin from plasminogen by plasminogen activators (fibrinolytic agents) induces a variety of effects in addition to dissolving fibrin strands, degrading fibrinogen, and inhibiting tissue factor pathway and factor VIII. It also, in high concentrations, causes platelet activation. Thus, fibrinolytic agents have both prothrombotic and antihemostatic properties—the latter of which is often augmented by the concomitant use of anticoagulants and platelet antagonists (see Chapter 12). Bleeding is the most common complication of fibrinolytic (and adjunctive antithrombotic) therapy. The most important predictors of nonintracranial hemorrhage are older age, invasive procedures, low body weight, and female sex (de Jaegre et al, 1992; GISSI 2 Investigators, 1990; GUSTO-III Investigators, 1997; INJECT Investigators, 1995). Predictors of intracranial hemorrhage include age (>65 years), low body weight (<70 kg), hypertension on admission, and alteplase (vs. streptokinase) (GUSTO-III Investigators, 1997). The approach to patient management in cases of fibrinolytic-induced bleeding is summarized in Figure 30.1. It is important to consider antithrombotic agents that may concomitantly increase hemorrhagic potential. Factor VIIa (recombinant; NovoSeven) represents a treatment alternative for life-threatening hemorrhagic complications.
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Winocour, Peter, and Sagen Zac-Varghese. "Strategies for the Management of Type 2 Diabetes." In Oxford Textbook of Endocrinology and Diabetes 3e, edited by John A. H. Wass, Wiebke Arlt, and Robert K. Semple, 2045–52. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198870197.003.0259.
Повний текст джерелаАнотація:
The approach to the management of hyperglycaemia in type 2 diabetes has become increasingly complex with a widening armamentarium of available antihyperglycaemic agents. It is well recognized that several agents have additional benefits (outside of glucose control), for example, on weight management and on cardiovascular and renal outcomes. Recent cardiovascular outcome trial data has had an impact on treatment algorithms. This chapter looks at strategies for deploying the various agents. The initiation of therapy, intensification of therapy, and combination of agents is discussed. The choice of agent in particular circumstances, in cardiovascular disease, renal disease, and hepatic impairment is discussed. Successful management requires a patient-centred approach with careful consideration of the risks and benefits of the treatment options.
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Wilding, John P., and Jonathan Z. M. Lim. "Dietary and Medical Management of Obesity." In Oxford Textbook of Endocrinology and Diabetes 3e, edited by John A. H. Wass, Wiebke Arlt, and Robert K. Semple, 1825–32. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198870197.003.0225.
Повний текст джерелаАнотація:
Lifestyle interventions that restrict energy intake, increase physical activity, and modify behaviour are the mainstay of most weight management programmes. Diets producing an intake of 500–600 kcal day below estimated total daily energy expenditure, combined with altered dietary macronutrient composition result in an average decrease of 3–5% initial body weight over 12 months. Use of meal replacements coupled with lifestyle support and gradual re-introduction of normal food can result in better weight loss than other dietary strategies, but weight regain is still common. Increasing physical activity through structured, gradual increments of intensity and frequency are predictors of success in weight maintenance at 1 year, 3 years, and beyond 5 years in combination with diet. Evidence from meta-analysis of behaviour modification therapy has further led clinicians to reconsider the types of messages, advice, and behaviour support offered to tackle the psychosocial aspects and stigma associated with obesity. Current pharmacological antiobesity agents include the intestinal lipase inhibitor orlistat, centrally acting drugs such as lorcaserin, naltrexone/bupropion, or phentermine alone or in combination with topiramate, and liraglutide, a GLP-1 receptor analogue also approved for use as glucose lowering agent. Future developments will likely target multiple pathways to optimize efficacy.
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Jibawi, Abdullah, Mohamed Baguneid, and Arnab Bhowmick. "Perioperative anticoagulation management." In Current Surgical Guidelines, edited by Abdullah Jibawi, Mohamed Baguneid, and Arnab Bhowmick, 137–42. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198794769.003.0015.
Повний текст джерелаАнотація:
Perioperative antithrombotic management is based on risk and benefits in the assessment for thromboembolism versus bleeding. It should be tailored to each patient. Patients with mechanical heart valves who are on warfarin need bridging therapy with heparin to reduce the risk of thrombosis. In addition, to reduce the risk of bleeding during the surgery, it should be managed accordingly prior to surgery. The target INR should be <1.5 on the day of surgery. High-risk patients should be considered for alternate prophylactic measures (e.g. low-molecular-weight heparin (LMWH)) when INR drops below 2. Low risk patients do not require bridging therapy or need prophylactic LMWH respectively. The new oral anticoagulation does not require frequent monitoring test but awareness of their pharmacokinetics critical in managing these patients prior to surgery.
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Mazzolai, Lucia. "General aspects." In ESC CardioMed, edited by Victor Aboyans, 2695–99. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198784906.003.0776.
Повний текст джерелаАнотація:
Thorough clinical history and physical examination are key steps in PADs management. Beyond the diagnosis of LEAD, ABI is also a strong marker for CV events. The management of PADs includes all interventions to address specific arterial symptoms as well as general CV risk prevention. Best medical therapy includes CV risk factor management, including optimal pharmacological therapy as well as non-pharmacological measures such as smoking cessation, healthy diet, weight loss and regular physical exercise.
Тези доповідей конференцій з теми "Weight-management therapy"
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Blebea, Nicoleta Mirela. "NUTRITIONAL THERAPY IN CLINICAL MANAGEMENT OF ONCOLOGICAL PATIENTS." In NORDSCI Conference Proceedings. Saima Consult Ltd, 2021. http://dx.doi.org/10.32008/nordsci2021/b1/v4/28.
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Nutritional therapy helps patients with cancer to maintain their weight within normal limits, maintain tissue integrity and reduce the side effects of cancer therapies. Nutritional oncology deals with both prevention and patient support during treatment, in convalescence and in palliative situations. Cancer patients need full support from the team of health professionals (oncologists, nurses and dietitians). The following basic elements should not be missing from the cancer patient's diet: water, protein intake, animal and vegetable fats, as well as vitamins and minerals. The diet of cancer patients should be closely monitored, as body weight should be kept within normal limits, ie a body mass index (BMI) between 19 and 24 (the calculation is made by dividing the weight by the square of the height). The oncologist should therefore be aware of the adverse effects of malnutrition on patient outcomes and view nutritional support as an essential component of the clinical management, chemotherapy, radiation therapy, antiemetic treatment, and treatment for pain.
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Watchorn, D. C., J. Meurling, G. Nolan, L. M. Tobin, A. Fabre, D. O'Shea, E. Dunican, and M. Butler. "Inflammatory Mediators in an Asthmatic Population on GLP-1 Analogue Therapy for Weight Management." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1424.
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Ferreira, Eliz Garcia, Jamille Karolyne da Conceição, and Ana Paula de Mello. "Nutritional risk patients management in a stroke reference center." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.328.
Повний текст джерелаАнотація:
Introduction: Nutritional screening should be used as a tool nutritional risk early identification, aiming at intervention for the prevention of malnutrition and rehabilitation. Objectives: Report nutritional risk management protocol in patients admitted for suspected stroke. Methodology: Experience report on the working method of nutrition team at a stroke reference center. Results: Nutrition screening by a Dietist is applied within 72 hours of admission of all patients admitted to the acute/integral stroke unit. First, NRS-2002 tool is applied, in which the following items are considered: BMI < 20.5Kg/m²; weight loss in the past three months; reduction in food intake in the last week; metabolic stress and age (≥70 years old). Those with a speech-language diagnosis of dysphagia are also considered at nutritional risk. After, anthropometric measurements: weight and height are measured with walking patients, or knee height, brachial and calf circumference of those with cognitive and/or motor disabilities. Individualized nutritional therapy (oral/enteral) is prescribed. In addition, cases are discussed in a multiprofessional daily round to define actions during rehabilitation and in the discharge process (conter- referral to primary care, nutrition advice and continuity of nutritional therapy at home). Conclusions: Establishing a nutritional risk management protocol is important for early identification in post-stroke patients, since nutritional status is directly related to a good prognosis and long-term quality of life.
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Sun Yi, Jae, and Suah Cho. "Development of a weight management service that considers individual physical characteristics and psychological factors." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001953.
Повний текст джерелаАнотація:
In modern society, life expectancy has increased, and the digital healthcare industry has grown up as people are more interested in health. Moreover, the recent spread of COVID-19 has increased the time spent at home, increasing the demand for weight control such as diet and nutrition-related products, exercise & fitness services. In the United States and Europe, weight management is mainly implemented to improve health or reduce health risk factors, whereas, in Korea, weight management is highly focused on external appearance alone. The purpose of this study is to propose a healthy weight management service design for users in their 20s and 30s in Korea who experience severe health problems in their weight management program by analyzing their needs and pain points in the process and defining fundamental problems. This study applied the double diamond model, a service design methodology, and divided the research process into discover, define, develop, and deliver. We conducted a digital ethnography of 20 selected weight management videos and in-depth interviews with 9 people who actively use the weight management process in order to collect user's verbal and non-verbal raw data and define service directions based on users' pain points and need & wants. Furthermore, we could substantiate specific solutions for service directions, the psychology types of each user, and the behavior inducement; and finalize the service architecture. Finally, we organized two sets of usability test of the service prototype of wireframes and developed the user interface design by applying heuristic evaluation criteria and analysis of the user observation from the test.As a result, we decided to use a smart mirror as a service platform based on the insight that visual observation is more effective than numerical value for weight management and the study that mirror exposure therapy is used to change users' behavior for actual weight management. In addition, We chose DTC genetic testing to identify the innate body information of each user and suggest appropriate nutrients, diets, and exercises for them. Not only that, but also, it was analyzed that in order for the user to continue weight management, it is necessary to habituate through user behavior improvement and gain motivation. Therefore, in order to form new habits of users, 1) 66 days were set as one unit, 2) the correct behavior model is to be presented to users, 3) persuasive technologies such as simplifying actions or going through steps were applied. Lastly, motivation is needed to maintain the habits, which must meet three factors: autonomy, relationship, and capability; for this reason, we provided functions according to user tendencies, provoked user interactions by sharing information and communicating with others, and comprised accomplishment process of one's goals. This study, applying DTC genetic testing results and using a smart mirror with strengthening users' experiences through the formation of digital and non-face-to-face platforms, differentiates from existing services in the healthcare industry.
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Ferreira, Hanna dos Santos, Agata Layanne Soares da Silva, and João Lucas de Sousa Peres. "Fibrinolytic therapy in the treatment of pediatric ischemic stroke." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.033.
Повний текст джерелаАнотація:
Introduction: Pediatric stroke is a disorder that can result in morbidity and mortality. The ischemic type is the most common and has thrombolytics as the preferred therapy. Objective: To evaluate the therapeutic management and efficacy of fibrinolytics in pediatric patients with ischemic stroke. Methodology: The literature review was carried out in PUBMED, MEDLINE, Embase databases, with the descriptors “Fibrinolytic Agents”, “Thrombolytic Therapy”, “Ischemic Stroke”, “Stroke”, “Pediatrics” and “Treatment”. Included were clinical trials, randomized controlled trials, cohort, case- control, and case series in English or Portuguese published in the last 5 years. It gathered 8 articles. Results: Treatment in the acute phase and for secondary prevention in the chronic phase of pediatric stroke are antithrombotic therapies and platelet antiaggregants, commonly aspirin. Comparing the latter and low molecular weight heparin, neither has shown superiority in preventing stroke recurrence. Without good evidence, however, aspirin is indicated for idiopathic stroke and anticoagulants in cardioembolic stroke by some guidelines. In recombinant tissue plasminogen activator therapy in one paper it was suggested there is more risk for conversion to hemorrhagic events compared to untreated, but in another paper hemorrhage was not seen. There was high mortality with this therapy and higher chances of being discharged to short term hospital, skilled nursing facility or intermediate care facility. In endovascular therapy, delay in diagnosis limits its use and stroke complications did not differ between patients who did or did not undergo this therapy. Conclusion: Further studies are needed to evaluate the efficacy of fibrinolytics.
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Huang, Zhonping, Anil C. Attaluri, Amit Belwalkar, William Van Geertruyden, Dayong Gao, and Wojciech Misiolek. "An Experimental Study of Transport Properties of Ceramic Membranes for Use in Hemodialysis." In ASME 2008 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2008. http://dx.doi.org/10.1115/sbc2008-192808.
Повний текст джерелаАнотація:
Hemodialysis (HD) remains the primary treatment modality for the management of renal failure patients. Hemodialysis membranes play an important role in renal replacement therapy (RRT). HD is an extracorporeal blood clean process where the major mass transfer mechanism is diffusion. This therapy is mainly effectual for low molecular weight (LMW) solutes (such as urea and creatinine) removal or clearance for which diffusive mass transfer is a swift process. There is an increase in the removal of middle molecular weight (MMW) solutes (such as β2-microglobulin) when high flux membranes are available. Hemodiafiltration (HDF) is a treatment where the convective mass transfer accolades with diffusive mass transfer to increase the solute clearance efficacy, specifically for MMW solutes. The convective mass transfer is reliant on the amount of fluid exchanged. Toxin removal efficiency of HDF significantly depends on the porosity, pore size, pore distribution and surface area of the membrane [1, 2]. Although newly developed high flux polysulfone membranes have high MMW solute clearance, the non-uniform pore size and pore distribution is the main contributors to the albumin loss. Previous studies by Huang et al.[3], showed that nanoporous alumina sheet membranes have uniform pore size (∼ 10nm), high hydraulic permeability, uniform pore distribution and excellent pore structure with uniform channels. It was predicted that these membranes would have high molecular removal capacity. Therefore, in this study, experiments were performed to generate the data of intrinsic membrane properties such as hydraulic permeability, sieving coefficient and solute diffusive permeability for the alumina tubular membranes. Results were also compared to current polyethersulfone (PES) dialysis membranes.
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Supraptomo, Rth. "A Case Report on Regional Anaesthesia in Pregnant Women with Severe Pre-Eclampsia, Partial Hellp Syndrome, Fetal Distress, and Type II Diabetes Mellitus." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.29.
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ABSTRACT Background: Maternal mortality in Indonesia is caused by multifactors that are both direct and indirect factors. Complications during pregnancy and after delivery, including preeclampsia is the direct cause of 90% of maternal deaths. This case report aimed to describe the anaesthesia management on the incidence of severe preeclampsia to prevent the complications. Subjects and Method: We reported a 33-year-old G3P2A0 woman with 33 weeks of gestational age, diagnosed with severe pre-eclampsia partial HELLP syndrome, fetal dis-tress, type II diabetes mellitus pro SCTP emergency with physical status ASA II. Regional anaesthesia with sub-arachnoid block was performed by using Lidodex 75 mg and fentanyl 25 mcg intrathecally. Results: From the operation process, a baby boy with birth weight 2.900 gram and APGAR Score 7-8-9 was born. Two-hour post operation examination on patient showed compos mentis (consciousness), blood pressure 121/ 80 mmHg, heart rate 64 bpm, respiration rate 20 breath per minute, blood oxygen saturation levels (SpO2) 99% with 3 L/min nasal cannula. Patient was administered to HCU post operation to be monitored vital sign and signs of impending eclampsia. Post-operative refeeding was performed after bowel sound was positive. Conclusion: Selection of appropriate anaesthetic management in severe preeclampsia cases can prevent complications. Keywords: severe preeclampsia, sectio caesaria, regional anesthesia, subarachnoid block Correspondence: R. Th. Supraptomo. Department of Anaesthesiology and Intensive Therapy Dr. Moewardi Hospital. Jl Kolonel Sutarto 132 Jebres, Surakarta, Central Java, 57126. Email: ekasatrio-@gmail.com. Mobile: +6281329025599. DOI: https://doi.org/10.26911/the7thicph.05.29
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Hussain, Mozammil, and Rodger Tepe. "Effect of Traction Load on the Biomechanical Behavior of Cervical, Thoracic, and Lumbar Spinal Segments: A Finite Element Analysis." In ASME 2008 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2008. http://dx.doi.org/10.1115/sbc2008-193246.
Повний текст джерелаАнотація:
Degeneration in the spinal structures can be a major source of pain that increases with aging in a roughly linear progression. Pain has been further correlated with the regions of high stress and strain concentrations. Due to difference in the regional anatomy and physiology of the cervical, thoracic, and lumbar levels, their biomechanical response to physiological loadings is different. The fluid egresses outside in the radial direction from nucleus pulposus (NP) to annulus fibrosus (AF) under compression, which generates a hydrostatic pressure against an external applied load. The increased NP pressure, in many clinical cases, results into various abnormal disc pathologies such as protrusions and herniations. Chiropractic care in the management of these spinal dysfunctions uses manual manipulation therapies such as distraction techniques to relieve the disc from high pressure and radial bulging. Despite manual distraction therapy is a three-dimensional force application; major proportion of the load is exerted in the axial upward direction. Although few biomechanical studies have compared the segmental biomechanics under axial traction loads, to the best of our knowledge, there is no study that distinguishes between the behavior of cervical, thoracic, and lumbar segments to these loads. The objective of the present study, therefore, was to investigate that how the biomechanical stresses, that were developed under upper body weight (BW), changes in the various spinal segments (cervical, thoracic, and lumbar) and in the different spinal structures (top vertebra, superior endplate, and disc) when the traction forces were applied as the therapeutic modalities in the chiropractic interventions.
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Arathoon, Mark, Syahmi Yusof, and Hafiz Makri. "Evaluating Mud Weight Options in Managed Pressure Drilling for Improved Risk Management and Maximised Drilling Advantage." In International Petroleum Technology Conference. IPTC, 2021. http://dx.doi.org/10.2523/iptc-21360-ms.
Повний текст джерелаАнотація:
Abstract Objective/Scope The objective of this paper is to highlight the fact that while in conventional drilling there can sometimes be no mud weight solution for drilling a particular narrow margin section without either exceeding the Leak Off Test value at the shoe, or falling below the Pore Pressure at section TD. In Managed Pressure Drilling (MPD) there is often a range of mud weight solutions that can be used to drill the section, but usually one optimum mud weight that should be used, based on different risk criteria that can be evaluated. The consequences of this are that when using MPD, it could be that the section risks have not been minimised and therefore more risk than necessary has been imported into the methodology. Whereas if all MPD mud weight solutions have been evaluated, together with their associated Surface Back Pressures, and the optimum selection made, then the mitigations can be specially tailored so that the remedial actions to any system failure are clearly planned in advance, reducing the overall risk level of the operation. Methods, Procedures, Process The methodology described in this paper demonstrates the process for choosing the optimal mud weight for drilling any well section using MPD, with worked examples. This process is especially applicable for drilling very narrow margin sections, for example with only 0.2 ppg window between Pore Pressure and Fracture Gradient. By enumerating the safety margins both at the previous casing shoe and at the proposed section TD, or any other point of interest, it is possible to rank the risks of kicks and losses in that section across a range of proposed mud weights and use this information to choose the optimal mud weight. Results, Observations, Conclusions The process of evaluating the options and outcomes of using different mud weights in MPD can not only lead to the best drilling solution for the section, but can also be used as a discussion tool between the drilling team and the subsurface team, to help elucidate the most likely risks to the operation and thereby mitigate those risks in the most appropriate way. Novel/Additive Information A further benefit of this approach is that the narrowest possible drilling windows can also be evaluated and as a result, options for extending TD and potentially eliminating casing strings can be considered, leading to considerable savings, which are highly prized at all times, but especially so in a low oil price environment.
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Chu, Bryan, Gary Klein, and Russell Enns. "Evaluation of Flight Control System Architectures for the AH-64." In Vertical Flight Society 78th Annual Forum & Technology Display. The Vertical Flight Society, 2022. http://dx.doi.org/10.4050/f-0078-2022-17498.
Повний текст джерелаАнотація:
The AH-64 would significantly benefit from an improved flight control system, particularly as the aircraft's requirements have evolved and continue to do so. To address this, multiple Vehicle Management System architectures are developed and presented for the AH-64 attack helicopter, each addressing several demanding and possibly conflicting future requirements, including Level 1 handling qualities, operating in degraded visual environments, autonomy, high-speed flight operation, and multiple vehicle coordinated operations. Architecture tradeoffs are performed with the understanding that the current AH-64 flight control system is mechanical with electrical partial authority augmentation, but also possesses a non-redundant full authority fly-by-wire emergency backup system. The various architectures are assessed as to how they satisfy the requirements. They are also assessed with respect to their relative costs, both for typical costs such as design, recurring, operating and sustainment, and training as well as other indirect costs such as size and weight. A methodology is developed to compare and contrast the architectures using informal qualitative-based scores assessed by subject matter experts from both industry and customer organizations, as well as scoring from Boeing program management with various operational experiences. The methodology assigns weightings to each requirement and cost criteria through the use of the Analytical Hierarchy Process. The results suggest that there are several likely cost-effective options, possibly with a higher potential return on investment than a conventional fly-by-wire (FBW) architecture. Some of these solutions are also incremental in nature, thereby providing more flexibility than the conventional FBW system.
Звіти організацій з теми "Weight-management therapy"
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VanderGheynst, Jean, Michael Raviv, Jim Stapleton, and Dror Minz. Effect of Combined Solarization and in Solum Compost Decomposition on Soil Health. United States Department of Agriculture, October 2013. http://dx.doi.org/10.32747/2013.7594388.bard.
Повний текст джерелаАнотація:
In soil solarization, moist soil is covered with a transparent plastic film, resulting in passive solar heating which inactivates soil-borne pathogen/weed propagules. Although solarization is an effective alternative to soil fumigation and chemical pesticide application, it is not widely used due to its long duration, which coincides with the growing season of some crops, thereby causing a loss of income. The basis of this project was that solarization of amended soil would be utilized more widely if growers could adopt the practice without losing production. In this research we examined three factors expected to contribute to greater utilization of solarization: 1) investigation of techniques that increase soil temperature, thereby reducing the time required for solarization; 2) development and validation of predictive soil heating models to enable informed decisions regarding soil and solarization management that accommodate the crop production cycle, and 3) elucidation of the contributions of microbial activity and microbial community structure to soil heating during solarization. Laboratory studies and a field trial were performed to determine heat generation in soil amended with compost during solarization. Respiration was measured in amended soil samples prior to and following solarization as a function of soil depth. Additionally, phytotoxicity was estimated through measurement of germination and early growth of lettuce seedlings in greenhouse assays, and samples were subjected to 16S ribosomal RNA gene sequencing to characterize microbial communities. Amendment of soil with 10% (g/g) compost containing 16.9 mg CO2/g dry weight organic carbon resulted in soil temperatures that were 2oC to 4oC higher than soil alone. Approximately 85% of total organic carbon within the amended soil was exhausted during 22 days of solarization. There was no significant difference in residual respiration with soil depth down to 17.4 cm. Although freshly amended soil proved highly inhibitory to lettuce seed germination and seedling growth, phytotoxicity was not detected in solarized amended soil after 22 days of field solarization. The sequencing data obtained from field samples revealed similar microbial species richness and evenness in both solarized amended and non-amended soil. However, amendment led to enrichment of a community different from that of non-amended soil after solarization. Moreover, community structure varied by soil depth in solarized soil. Coupled with temperature data from soil during solarization, community data highlighted how thermal gradients in soil influence community structure and indicated microorganisms that may contribute to increased soil heating during solarization. Reliable predictive tools are necessary to characterize the solarization process and to minimize the opportunity cost incurred by farmers due to growing season abbreviation, however, current models do not accurately predict temperatures for soils with internal heat generation associated with the microbial breakdown of the soil amendment. To address the need for a more robust model, a first-order source term was developed to model the internal heat source during amended soil solarization. This source term was then incorporated into an existing “soil only” model and validated against data collected from amended soil field trials. The expanded model outperformed both the existing stable-soil model and a constant source term model, predicting daily peak temperatures to within 0.1°C during the critical first week of solarization. Overall the results suggest that amendment of soil with compost prior to solarization may be of value in agricultural soil disinfestations operations, however additional work is needed to determine the effects of soil type and organic matter source on efficacy. Furthermore, models can be developed to predict soil temperature during solarization, however, additional work is needed to couple heat transfer models with pathogen and weed inactivation models to better estimate solarization duration necessary for disinfestation.