Friday, January 24, 2020
Surgical Treatment For Morbid Obesity Essay -- Overweight Obese Resear
According to the World Health Organization, globally there are now more than 1 billion overweight adults, and at least 300 million of them are obese. During the last 40 years, obesity has reached epidemic proportions. There are more obese people each year, and the severity is increasing. In the United States alone, 300,000 deaths are associated with obesity. Thesis: Many obese people fail diet after diet. For them, bariatric surgery is an option even though risks are involved (Flancbaum, et al. 7; Goodman par 3; â€Å"The Weight†par 2). Overview      Obesity is climbing the charts as being a major killer of our population. This paper informs the reader on how bariatric surgery treats the severely obese. Focus is given on who should have bariatric surgery, how the surgery works, risks of bariatric surgery, and what the patient can expect. Bariatric surgery is reserved for people who have been unable to lose weight on professionally managed weight-loss programs and those with obesity-related conditions such as diabetes, or the risk of them. When surgery is an option for weight loss      The best candidates for bariatric surgery are patients who have a body mass index (BMI) of 40 or greater, or 35 or greater and associated obesity-related conditions such as diabetes, heart disease, and sleep apnea (see figure 1.1, pg 8 & table 1, pg 6). In terms of pounds, qualifying for surgery estimates to being 100 pounds above ideal body weight. A patient must have also gone through some sort of organized weight loss program in the past, and failed to maintain weight loss (Flancbaum, et al.15). How surgery promotes weight loss Gastrointestinal surgery for obesity, also called bariatric surgery, alters the digestive process. The operations promote weight loss by closing off parts of the stomach to make it smaller. These procedures are referred to as restrictive procedures because they cut down on the amount of food the stomach can hold. These types of procedures are less common due to the complications involved (Flancbaum, et al. 27, 52). The most popular operations combine stomach restriction with a partial bypass of the small intestine. These procedures create a direct connection from the stomach to the lower segment of the small intestine, literally bypassing portions of the digestive tract that absorb calories and nutrients. These are known as malabsorp... ... relation to BMI* BMI     Obesity Category     Health Risks Without Medical Problems     Health Risks With Medical Problems Below 19     Underweight     Slight     Minimal 19-24     Normal     None     Minimal 25-29     Overweight     Minimal     Moderate 30-34     Obese     Moderate     High 35-39     Severely Obese     High     Very High 40-49     Morbidly Obese     Very High     Extreme 50+     Super Obese     Extreme     Very Extreme * Classification based upon World Health Organization; see The Doctor’s Guide to Weight loss Surgery. Table 2: Weight Loss Surgery on Obesity-Related Conditions Condition     Improved     Completely Resolved Type II diabetes     93 percent     89 percent Hypertension     90 percent     66 percent Abnormal blood lipids     85 percent     70 percent Sleep apnea     72 percent     40 percent See The Doctor’s Guide to Weight Loss Surgery. Table 3: Complications after Weight Loss Surgery      RYGB     VBG Protein-calorie malnutrition     0     0 Micronutrient & vitamin deficiency     10-20 percent     Flancbaum L, Belsley S, Drake V, Colarusso T, Tayler E J Gastrointest Surg. 2006 Jul-Aug; 10(7):1033-7.
Thursday, January 16, 2020
Design House Partnership
‘I can’t believe how much we have changed in a relatively short time. From being an inward-looking manufacturer,we became a customer-focused â€Å"design and make†operation. Now we are an integrated service provider. Most of our new business comes from the partnerships we have formed with design houses. In effect, we design products jointly with specialist design houses that have a well-known brand, and offer them a complete service of manufacturing and distribution. In many ways we are now a â€Å"business-to-business†company rather than aâ€Å"business-to consumer†company. ’ (Jim Thompson, CEO,Concept Design Services (CDS)) CDS had become one of Europe’s most profitable homeware businesses. Originally founded in the 1960s, the company had moved from making industrial mouldings, mainly in the aerospace sector, and some cheap ‘homeware’ items such as buckets and dust pans, sold under the ‘Focus’ brand name, to making very high-quality (expensive) stylish homewares with a high ‘design value’. The move into ‘Concept’ products, The move into higher-margin homeware had been masterminded by Linda Fleet, CDS’s Marketing Director, who had previously worked for a large retail chain of paint and wallpaper retailers. ‘Experience in the decorative products industry had taught me the importance of fashion and product development, even in mundane products such as paint. Premium-priced colours and new textures would become popular for one or two years, supported by appropriate promotion and features in lifestyle magazines. The manufacturers and retailers who created and supported these products were dramatically more profitable than those who simply provided standard ranges. Instinctively, I felt that this must also apply to homeware. We decided to develop a whole coordinated range of such items, and to open up a new distribution network for them to serve upmarket stores, kitchen equipment and speciality retailers. Within a year of launching our first new range of kitchen homeware under the â€Å"Concept†brand name, we had over 3000 retail outlets signed up, provided with point-of-sale display facilities. Press coverage generated an enormous interest which was reinforced by the product placement on several TV cookery and â€Å"lifestyle†programmes. We soon developed an entirely new market and within two years â€Å"Concept†products were providing over 75 per cent of our revenue and 90 per cent of our profits. The price realization of Concept products is many times higher than for the Focus range. To keep ahead we launched new ranges at regular intervals. ’
Wednesday, January 8, 2020
What We Really Miss About The 1950s - 1286 Words
Throughout history, people have looked towards past history to recognize the problems that society endured. Some might say certain time periods was the best time to live as others periods were full of failure and the mistakes and should not be repeated. The idea of a perfect time to live is known as â€Å"golden age thinking†which is ultimately defined as a certain time period is better than the one they live in today. This hasty generalization bases an entire era with very little evaluation and thought due to people lacking to realize there is no such thing as the best era. However certain times may have accompanied better economic stability or less social oppression such as Stephanie Coontz’s article â€Å"What We Really Miss About the 1950s.†The idea of making a golden age by force by structuring society in very detailed manners causes a loss of privacy, choice and ultimately a loss of freedom due to the deprivation of individuality. The loss of individualit y causes a loss in competition within a society causing people to lose interest in being more than what is just allowed like in Kurt Vonnegut Jr.’s short story â€Å"Harrison Bergeron.†Every era in history has had its setbacks but that is why every time period is run through trial and error. People of today’s society feel as if they are lacking something and entitled to do something new in their life. An era such as the 1950s is exemplifies golden age thinking. The United States was booming after the end of World War II due toShow MoreRelated1950s Nostalgia1298 Words  | 6 Pages1950s Nostalgia Real and Imagined Stephanie Coontz is a professor of Family History at the Evergreen State College in Olympia Washington. She is a nationally recognized expert on the family and an award winning writer. In her 1997 book â€Å"The Way We Really Are: Coming to Terms with America’s Changing Families†, Stephanie Coontz wrote an essay entitled â€Å"What We Really Miss about the 1950s†. In Stephanie Coontz’s â€Å"What We Really Miss about the 1950s†, she argues that we asRead MoreThe Perfect American Lifestyleof The 1950S. What Is The1489 Words  | 6 PagesThe Perfect American lifestyle of The 1950s What is the perfect American lifestyle, was there ever a perfect American lifestyle. This paper will analyze Stephanie Coontz’s â€Å"What We Really Miss About The 1950s†and the idea of the ideal America Lifestyle. The perfect American lifestyle of the 1950s started with the ability to earn money as Coontz notes â€Å"it’s easy to see why people might look back fondly to a decade when real wages grew more in any single year than in the entire ten years of theRead MoreModern Family Myth Essay1153 Words  | 5 PagesDebunking the Modern Family Myth According to Stephanie Coontz in â€Å"What We Really Miss About The 1950’s†, the 1950’s were symbolic in terms of the nuclear American family. The â€Å"typical†nuclear American family structure consisted of an unemployed stay-at-home mom, working dad, a child or two, and a suburban home. In her article, she refers to the 1950’s as being the optimal time period for family’s where the ideology in television shows such as â€Å"Father Knows Best†and â€Å"Leave It To Beaver†was notRead MoreMarriage And Family Play Essential Roles1567 Words  | 7 Pagesalthough some are convincible some are not. In â€Å"What We Really Miss About the 1950s†, Coontz explained why people have nostalgia for 1950s however not really want to go back. In â€Å"From Marriage Market: How Inequality is Remaking the American Family†, Cahn and Carbone how women in nowadays are more free than those in old days. Present years in facts are not better times for children to grow up in because of lackness of standards, rampant and materialism. In 1950s, there were rules to be followed. Men shouldRead MoreEssay on Television Today Versus the 1950s1182 Words  | 5 Pages How many people today watch family sitcoms to imitate or compare values with their own? Probably not as many as there were in the 1950s. In Stephanie Coontzs What We Really Miss about the 1950s, she discusses why people feel more nostalgic towards growing up in the 1950s, and how she disagrees that 1950s wasnt the decade that we really should like or remember best. Apart from economic stability, family values played an important part then. Through television sitcoms, such as Leave itRead MoreIs Gender The Same Element As Sex? Essay1323 Words  | 6 PagesThere are several Cultural Myths about Gender and Sex. Gary Colombo, who wrote: â€Å"Thinking Critically, Challenging Cultural Myths†who explains that a cultural myth is a shared set of customs, values, ideas, and beliefs, as well as a common language. In â€Å"Sisterhood is Complicated†by Ruth Padawer who is a contributing writer at The New York Times Magazine, focusing on gender and social issues in â€Å"Sis terhood is Complicated†she shows various of the Stereotypes about Gender and Sex and how they areRead More William Faulkner Essay1215 Words  | 5 Pages William Faulkner nbsp;nbsp;nbsp;nbsp;nbsp;William Faulkner is one of Americas most talked about writers and his work should be included in any literary canon for several reasons. After reading a few of his short stories, it becomes clear that Faulkners works have uniqueness to them. One of the qualities that make William Faulkners writings different is his close connection with the South. Gwendolyn Charbnier states, Besides the sociological factors that influence Faulkners work, biographicalRead MoreThe Nuclear Family910 Words  | 4 PagesThe idea of the nuclear family was highly valued in the American culture during the 1950s, where romantic love was the central reason for marriage in America; however, love in modern America is not enough to make a marriage last. Likewise, the 1950s was the time for many American marriages to undergo many socioeconomic changes including the rise of the gender minority in the workplace. Due to these developments, marriage is under enormous socioeconomic pressure s have given the rise to family structuresRead MoreCultural Myths About Gender And Sex Essay1484 Words  | 6 Pagesdifferent concepts. There are several Cultural Myths about gender and sex. Gary Colombo, who wrote: â€Å"Thinking Critically, Challenging Cultural Myths†explains that a cultural myth is a â€Å"shared set of customs, values, ideas, and beliefs, as well as a common language (3).†In â€Å"Sisterhood is Complicated†by Ruth Padawer, a contributing writer at The New York Times Magazine, she focuses on gender and social issues. Padawer shows various stereotypes about gender roles and sex, and how they form multiple culturalRead MoreEssay Rear Window, by Alfred Hitchcock626 Words  | 3 Pagessociety in the 1950’s. Hitchcock uses clever things from the way the apartments are being filmed to the dialogue between Jeffries, Lisa, and Stella to show societies interest in pain, tragedy, and discomfort, and in the end you see how tragedy is wh at makes everyone happy.      From the very beginning of Rear Window we encounter scenes where Hitchcock shows Stella being sadistic, but we come to realize later that it is not just Stella. Stella is just the only one who speaks out about it. You must
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